HomeMy WebLinkAbout06100130 Application
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City of Carmel/ Clay Township ";,"".\: Please call 695-7630 for Permit #: Olt 1 .~
RESIDENTIAL IMPROVE~ LO~AifONPERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
LOCATION
5& PROJECT
INFO:
- -~
\
SEWER UTILITY WATER UTILITY
PROVIDER{ PROVIDER: C
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPUCABLE):
BUILDER
OF
RECORD:
PROPERTY
OWNER:
NAME:
S TE Jo
. Co
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE
F IMPROVEM NT:
TYPE OF CONSTRUCTION:
ill'" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release / Manufactured /
::~:~:t: REL~~R ~;~~CT,2~~
CITY:
C
111.'1\ I
BEST METHO~/,9j CONTACT:
/1./ III
'(
"
~
~STATE:
'::f
SECTIQN:
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSffUCTION:
(EXCLUDING LAND VALUE) ~ :1.5
31Y
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
..J?B.W r. S/'1'ITH
Plumber's Indiana State License #:
I CW'} '7'7
Whi? plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ASEMENT (WALKOUT:_Y ~)
For Single F 1U?d=\-t9o F~~ '~fr~'q,llf[dWi~h~5t~mCMie s, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of isstGh~\:i(:tIii:1fuildmi'~~must be completed (Certificate of Occupancy issued) within 18 months of the issuance date, Class I
structure perr.;Eptp~F~...~t.~~~~\ill0~ the St,ate of Indian~ (See 675 lAC 12) regarding expiration time frames for beghming and
,.... '1\1 c:: L.Jt51pletmg construction.
I, the underlighla(a~ft~MmbJi.G,~sro~1 enw.tg\tflem, relocation, or alteration of a structure, or any change in the use of land or structures I
requested by this application will cop?p.1nr~~!l!'!P conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993~ (Z'
289) and amendments, adopted under alirH6rlty'"cSf'Lc 36'7 et seq, General Assembly of the State of Indiana, and all 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
o upancy has beel! issued by the Department of Community Services, Carmel, Indiana.
,. I ' '. 1\ a.' i 1_. .1'
'.- JOe.1 tt......lJIRbsONG-- ~JINE
Signature of OWner or Authorized Agen Print
OFFICE USE ONLY: ****** ************************************************3*~**********************
INSPECTIONS REQUIRED: Filing Fees: 1/ ..:> . 00
. -. Base Inspections: ,.;2 I'? ,,>,0
Upper Footing Lower Footing Under Slab /'0
t~ Cert. of Occupancy: ,S--3. -.) ,
Si~
inal / P'R~I.F': I,J.. b I dO Additional Fees
I ( ~TOTAL: ,(/;t!;2..1 O() I
Dept. of Community Services - /7JJ7J
S:PennIts,/FormS/ILP RESIDENTIAL ~
Fee Received by:
IO/Ji:,/ck '
D.te
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