HomeMy WebLinkAbout06080091 Application
City of Carmel/Clay Township CAll A-1 EXPEOlr Permit #: t'1O"g'OO'{ (
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BUILDER
OF
RECORD:
ADDRESS OF CONSTRUCTION:
;;J&4 T'\;
SEWER UTIUTY _
PROVIDER: CIa., I
NAME OF UTILITY EXCAV TION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCl(ET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF IMPROVEMENT:
d'NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED ~pE
o ATTACHED~~
o DEMoLmoN'<?,:' ;<jSI'
OCt, '-'{) FOUNDATION TYPE: (Check all that apply for the new
()"" '0 ~ structi )'
Early Release Manufa~c:.iO OF CO", 0.9 con on area
Permit: _vA Trusses: -#,y~.s~",:OI/" Co 0 CRAWLSPACE 0 POST& BEAM PIER
Lot Split: _V ~ Sump Pump: ~t!?,~I)O'~~&~i::StJp, SLAB ~SEMENT(WALKOUT:_V t./'N)
For Single Family and Two Family dwellings. additions, remodels, andJ~~'P~d 1.; . '~~lid only if construction commences within 180
days of the date of issuance of the building permit, and must be camp c€r@;;~M~~CY~Ac!)Kvithin 18 months of the issuance date. Class I
sllUcture permits are subject to the General Administrative Rules of the St ~!P~ lAC 12) t6farding expiration time frames for beginning and
completingc~cti ~7C~)'
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or altera 1 sure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of India ~"tJ. e:~Zoning Ordinance of Cannel Indiana -1993" (Z~
289) and amendments, adopted under authority of LC. 36'7 et seq, General Assembly of the State of India~~,7toall Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occup,tlncyhas be,en issued by the ?epartm.ent of Community Services, Carmel, Indiana.
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Print
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NAME:
PROPERTY
OWNER:
LOCATION
,. PROJECT
INFO:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
&Y5INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc. J
PROJECT INFORMATION:
\
ESTIMATED COST OF CONSlj,UCTlON:
(EXCLUDING LAND VALUE) if f)'82
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
HtLJ [6mith
Plumber's Indiana State License #:
lo/?7?
Which plumbing codes will be applied to the construction:
~temational Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
~1I5/{)t,
Date
Under Slab
# Charged Re-
ReVIews
Site
P.R.I.F.:
Additional Fees
I
Dept. of Community Services
S:Permlts/FormsjILP RESIDENTIAL
ate)
Date