HomeMy WebLinkAbout05090036-Applicationecity of Carmel/Clay Township permit
SiDENTIAL IMPRO LOCATION PERMIT APPLICATION
For Single Family, Haiti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
CoDstructi_on-Monon Farms LL _ . _ ,- , _ 317-849-02C
I STREET ADDRESS CITY STATE
IN 46250
OWNER. -- --
LOCATION LOT # SUSDMSIO. NAHE SECTION ZONING:
Morion Farms PUD
~XIRE~S OF CONSTRUCTION SQUARE
11420-11410 Monon Farms T.ane ~TAGE: 6626
WATER UTILITY OST OF CONSTRUCTION:
PROVIDER: (EXCLUDING LAND VALUE) $ 3 2 4 v 5 5 8
moVImm: CTRWD
NAME OF UTILrrY EXCAVATION COkqRACTOR; PLANCOMIflI$SION/BZAI BPWDCX:I(ET Docke[ 77-03-z ( 11 / 17 / 03 )
NUNBERS; TAC DAt.(S); AND/OR COUNTY WELL AND/OR $EFTIC PERMIT #'$ IIF APPLICAJtLE}: 0 3 0 5 0 0 3 0 TAC
F' _ V MENT: P ING 2: N -' OR:
[] SINGLE FAMILY ~3 NBN STRUCTURE
CD TOWN HOME CD ROOM ADDITION(S) Plumber's Indiana State License #:
]~D TWOFAMILY [] PORCHADDITION(S) L.D.F./echan±cal
# of units: [] REMODEL --
CD MULTI-FAMILY [] ACCESSORY BUILDING Which plummng codes will be applied to the construction:
# Of Units:__ CD DETACHED GARAGE ~ International Residential Code w/Indiana Amendments
[] RELSIDENTI/~L (For [] ATTACHED GARAGE [] Uniform Plumbing Code w/Indiana Amendments
Additions, Remodels, Etc.) [] DEMOLITION (Multi-Family Construction Code)
~[~L~: (Check all that apply for the new
Manufactured construction area)
Y _.~_N Trusses: _~iL._Y __N
[] CRAWLSPACE [] POST & BEAM
Lot Split: Y_x_N Sump Pump: Y_x_N [2~ SLAB [] BASEMENT
property lie within a special Flood designation area: Y N WALKOUT: Y N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory s .~.ctur~, this p :es
within 180 days of the dace of i.ssuance of the building permit, and must. be c?mp_letsd (Ceerffieate~
issuance date. Class I structure permits are subject m the General Admiinstratave Rules of the State ~ tion
time frames for beginning and comlaleting conseruc?°~
construction, reconstruction, enlargement, relocatinn, or akeration of a s
com~ly with, and conform to, all applicable hws of the Stste o:
ed'under autho~ry of I.C. 36-T er seq, General Assembly of ~
and floor drains are cormected to the sanitary sewer. 1 furt ~.constmction wi~l/~l
>y the Department of Community S
Larr~ A. Roland
Print [gate
USE ONLY: ************************************************************************
INSPECTIONS RE(~UIRED: ~ ~ ~.~ S T R, ~ ~ ~,~ 2'~' ,, .,,~(~) # C:h~rgedRevlews Re-
5 8nn Additional Fe-~'~-