HomeMy WebLinkAbout06080054 Application
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City of Carmel/Clay Township (jJ ~ Permit #: O&oX';oo.)'L-j
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BUILDE~ of NAME AllIsOn Polnte Blvd. ##200 PHONE Jll!/; '!5...~\?I'ffj7ii\;?7;:;
RECORD. STREET ADDRESS Indlonopol1s.IN 46250 /,11 ' ~zJ~_<
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PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
Ilr. PROJECT
INFO:
SEWER UTILTIY
PROVIDER:
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PHONE
CITY
STATE
SECTION
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ZONING: S _ I
SQUARE /1 ~ 11 I;""'
FOOTAGE- '1 V Q.J
ESTIMATED COST OF CONSLRUcnON:
(EXCLUDING LAND VALUE) If,
NAME OF IJTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR (OUNn' WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): If
TYPE OF CONSTRUCTION:
g SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodeis, Etc.)
TYPE OF IMPROVEMENT:
M NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
I?T 1)10{};(e
Plumber's Indiana State License #:
JOZ bOOS 7
Which plumbing codes will be applied to the construction:
~nternational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured L FOUNDATION TYPE: (Check all that apply for the new
\I construction area)
Permit: _Y.L..N Trusses: Y _N
II 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ~N Sump Pump: -/i-Y _N 0 SLAB ba/ BASEMENT
Does any part of the property lie within a spedft i nation area: _ Y N WALKOlJT:_ y-XN
For Single Family and Two Family dwellings, additions, ~Jltbt M46~' fW~~sor . t~.. valid only if construction commences
within 180 days of the date of issuance of the building permit, an~,~ t ett:~~e'tt~eenfi'AWr H c ancy issued) within 18 months of the
issuance date. Class I structure permits are subject to thert't.!lM-f an'tt tfilR-d~f~ar.a~"'dJ a (See 675 lAC 12) regarding expiration
time fraJ)l~~t'dt'jjegi 1iiil>~MMUlil'll1'W'sti'll&on- -t-
I, the undersigned, agree that any construction, reconstnktjah)f~~eeu.ttfWjra~lOn, b~llh'fatSE~;l. r any change in the use of land or
structures requested by this application will comply vvith, and conform to, .<ill jljtf~W,~ GbAo/h a, nd the ~Zoning Ordinance of Carmel
Ineliana - 1993"' (2)289) and amendments, adopted under authority of LC 36~7 etNIDhs.lftfN Assem ~f Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to"the sa"'~ sewer. I further certl y that the construction will not be
us r occupied until Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Print
fj-4-(jifl
Date
OFFICE USE ONLY: **************************.~********************Y*****~J***************
Filing Fees: ~ ()
SPECTIO QUIRED:
Base Inspections: ~ '1'1 <' U # Charged Re-
ertNlews
Cert. of Occupancy: _ _~::: : !./>..S,Yl- .
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Fee Rece<ved by: f-
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Under Slab
Final
Site
Reviewed/Approved: Dept. of Community Services
5:Permits/FormsjIlP RESIDENTIAL
(Oate)