HomeMy WebLinkAbout07010164 Application
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City of Carmel/Clay Township Permit #:0'7 D I () I bi_J
\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:
dOlo FAX57S'_ g'qoo
ZIP'
, tJ i.f-lotJ3'L
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CPre-Ma:
BEST METHOD OF CONTACf:
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PHONE:
FAX:
STATE:
ZIP:
STREET ~ESS:
LOT #: i f SUBDIVISION NAME: / n r:
3,1 ~\ ~6~
AtD4Slo~co MCAD' A+J .
CTIY:
ZONING: S-
SECITON:
&>8
sJ11fES
3
SQUARE .f:/<l e
fOOTAGE: ~ 3
SEWER lITIlfTY
PROVIDER: t, I
NAME OF lJT1LITY EXCAVATION CONTRAcrOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
""A~',
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TYPE OF CONsTRurnoN( TYPE OF.IMPROVEMENT:
~SINGLE FA..,I1:ie:/. ~ ~NEW 'srRUCTURE
o TOW,,! t{<!MEV /J' RO ' ADDITION(S)
o TWO FA,MIJ.Y '\. 0 RCH ADDmON(S)
, # of ~nits bein~ , DECK ADDITIDN(S)
constructed a~ls A REMODEL
time: . t!,' " Basement Finish only Whic:!Wlumbing codes will be applied to the construction:
o RESIDENTIAL (For /' 0 ACCESSORY BUILDINr g International Residential Code wI Indiana Amendments
Additions. Remodels. Etc.) 0 DETACHED GARAGF ., .
/' 0 ATTACHED GARA~Ci 0 Umform Plumbmg Code w/Ind,ana Amendments
.' 0 DEMOLITION " '::lire ~ n~
PROJECT INFORMATION: UUll-;;;;""1c''''':::r '. '=.,OUNDA!ION TYPE: (Check all that applx. for the new B rJ
Early Release ~ Manufactured . / '!b "'J'I) , "'9,"?9'\'~on area) eLf\! PI N ,.$ H& l) F(lLL SM
Permit: yy Trusses: oJf];J:r-,NJ1 S/8; PI/iilJce'-C1\/CAAwLsPACE 0 POST & _ BEAM _PIER
'} n;:: eq/), WI/!)~.'r1u,~ . /'
Lot Split: Sump Pump: ~'r(. C01\1;0 LOrJ;J SllAlbn ENT (WALKOUT:_y~N)
IAI C ?:Su. -
For Single Family an.d Two Family dw~~gs, additions, remodels, and/or acce~W~cl;m,s,{ i ~tSlS v~_~d ~ __iff~~S~~-~iO:n f~?~~n'ces:~,tp.i~ 180
days of the da~e of lssu~ce of the buildmg pe~t: and ~ust be completed (CertJ'~ of lkf-yp~~ ~~~~iJ;1 \~,~,0?_~~s.of ~he_lssuance da~e. 9as,s ,I
structure pemuts are subject to the General AdministratIve Rules of the State of IndiIJk~~~~75 tAftOWf~xpuatlon tIme frames for begmnl,~g an~
. . completing c~nstruction. , IVS~/';.l \ . 1"\(\1,' \ \ \
I, the underSigned, agree that any constrUction, reconstruction, enlargement, relocation, or alteratIOn of a structure, or~a,~~nge in th1.. pS&fE .t\ndBBl$ructures ;i \
requested by this application will comply with, and conform to, all applicable laws of the State of India~a, and the "Zoni\~fqrp~nanca~T'lanftel r'ndiana -1~93'\(ZL/ \,
289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts?men?!ltory thereto_ I further ce.I!lfy.th'at only '\
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be u~~d lor occupied,.untila-Ceitificate of \
Occupancy has been' ued by the Department of Community Services, Cannel, Indiana. 1\ '..J ,.... . . c ,
, J{lANNb &H-f-j)~D- I !;)i!To7
Print - --- Date I
ESTIMATED COST OF CONSTRU
(EXCLUDING LAND VALUE)
3
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
'-'-.'
A I SUPE:RJ 0/2,
'11
TAX MAP PARCEL #:: ;
1,- [:-2
PLUMBING CONTRACTOR:
--1:::t1\1Y\ m' u-- \..() r4 s --'----
Plumber's Indiana State.License #:
C-eJ 0 {)OOTO I
,
....1
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USEONLY:*********************************************************~~********************
IN~PECT10NS REQUIRED: Filing Fees: g t&4 30
QiP~;g L~9 Under Slab Base Inspections: ~;-; ~ 0
~ '" Cert of Occupancy: " ..JO
-.. ~"~~ . ~~/ [0
P.R~LF.. ~ .--'---
-, ~7" _IOTAW1' f p7l1t Y 3 0
Reviewed/Approved; Dept. of Community ervices (Date) ~~f!!J/~"
# Charged Re-
Reviews
-----,
Additional Fees
S:PermitsjFormsjILP RESIDENTIAL
Fee Received by:
Date