HomeMy WebLinkAbout06090103 Application
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City of Carmell Clay Township ~S ~\ \...\-\ \ \ \ Permit #: OlQoq{') 1'0'7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME. PHONE:
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FAX:
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ZIP:
L/Ui)
STREET ADDRESS: .
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BUILDER'S EMAIL ADDRESS:
NAME:
~....R
STREET ADDRESS:
U(,s
STATE:
;DJ
BEST METHOD OF CONTACT:
\<01
1?lO~ -Lj $'11
3I7,,-/I.13-3Y'7"'(
FAX:
EO 0. -\-t>Y)
PHONE:
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TYPE OF IMPROVEMENT:
if NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
INSPECTIONS REQUIRED:
~e;F~' €.wer FOO~
cough I~~ Final
TYPE OF CONSTRUCTION:
fiT SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.1
Early Release
Permit:
PROJECT INFORMATION:
"':> I \v'e..-
CII't...e.it..
LOT #:
\
ADDRESS OF CONSTRUCTION: .
5'&5 D\c\..u,,-,<:>~d \...C''''-L- L 0-\
C'-, "'\' ,.;~ WATERUTILITY C<lUb'tO~
\.(... v..J \....) PROVIDER: c.....r-""" \;.....-
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CnY:
UV-,
STATE:
ZIP:
L( (. '). <;;
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SUBDIVISION NAME: . SECTION:
~ \il ca~ ~ Ct.-\: W. \\ \'c.......<;. C"'e.t.~
ZONING:S
-25--06
(Date)
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ESTIMATED COST OF.to'NSrRucrlON: .: ... : ..
(EXCLUDING LAND VALUE) ,. ,.,D.<O.C'=V00.
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--".-.. ...--.~.-.~----j"----
NAME OF lJTILIlY EXCAVATION CONTRAcrOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) n '<c M "" I'" 0 S..., n 0" '.f
FOR THIS PROPERlY: \,", "- "'I;> ~ 1'- '" Clu
'" Manufactured
V ,... N Trusses: V N
R8::EA~ Fo~@(p~0cy N
.~ ., it _ I u\atlons
,
For Single Familyan wo ~4.~H~~oof:!~d9mOrefuodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuan~lo'ft'1i'e.bun~ lX.~t..;an!!tri~~ eted (Certificate of Occupancy issued) within 18 months of the issuance date. dass I
structure permitOO iiUl'jtG to ffilG~tMY~frhlu1ist~!V1 ,~~ es 0 tate of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
t: r.AR~~EL I CLAY 10\J,N etingconstruction.
I, the undersignQl~eQ.at arrycljrist:r'ucnon, r'icPJptruction, enlargement, relogtj,gn;-or alteratlOn oh~.fture, or any change in the use of land or structures ..
requested by this application will ~omplH~B.IA~fonn to, all applicab 'WS of the State of Indiana, and the'::~oning Ordinance of Cannel Indiana -1993n (Z~
289) and amendments, adopted under authority of r.c. 36~7 et seq, Ge a Assembly of the State of Indiana, and all A ts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewe further certify that the construction will not be sed or occupied until a Certificate of
Occupancy has been issued by the e ent of Commu. Services, Carmel, Indiana.
~
Lot Split:
S:PermitsfFormsfILP RESIDENTIAL
PLUMBING CONTRACTOR:---.
~c....-Il. ~C~c\::, \J\u"",Io,,,,a.
Plumber's Indiana State License #:
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Which plumbing codes will be applied to the construction:
0lntemational Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB W BASEMENT (WALKOUT:Lv_N )
q -';)\do
Date
3'33.00
,5) I 50
/ J.. (J 00
. ..
# Charged Re-
Reviews
Additional Fees