HomeMy WebLinkAbout07010172 Application
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\City of Carmell Clay Township Permit #: () 10 10/1;;2--
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, l!r. Two Family: New Structures, Additions, Remodels, l!r. Accessory Structures
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FAX:
5
BUILDER
OF
RECORD:
NAME:
LLLrF ttOME:S
Tg~o\J H .
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): A- \ f5:f2.--tDf.2-
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TAX :AP PA~CE2J~ _ 00- 2io - {JOt{. 000
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PLUMBING CONTRACTO~JAN ,1,
itAM H ~~N~ if 2007
Plumber's Indiana'State.License.#: 1,- _J I
c.P1 OI)OO I 0 IU~_'_'"
TYPE OF IMPROVEMENT:
cYNEW STRUCTURE
o ROOM ADDITION(~-
o PORCH ADDrnOIl'
o DECK ADDrnON(
o REMODEL
Basement Fini!o
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLrnON
_, c . ... . ,,". . .- FOUNDATIO I eck all that apply for the new
~ElEA.?E~"F~~~. " iNI-SH6D FULu
--=-SUbje(jt td ,Qo~p!l~nc~~%llll,rMP~ POST & _ BEAM _PIER
..-y N of Sta\'il ar1~ DilB,al G()de~ 7:
---;~ , .. fr',' MlJ'M'l'ff!!iElWleI!:SENT (WALKOUT: y. N)
For Single Family and Two Family dwellings, additions, remodel~ ~~'~~;/'ti@:~Witi~N$IoIU~lstruction commences within 180
days of the date of issuance of the building pennit, and must be Mh~I~tecr(Cert(ficate,qf q>~,c~Pffi9' issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indianal(~tri5iAc-I2) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, 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 Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993" (Z,
289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certjfy 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 Cercifjca.te of
Decu ey has been issued b Department of Co unity Services, Cannel, Indiana.
~NJ ~8 Si1E:Pl-fOCO
PROPERTY
OWNER:
LOCATION
l!r. PROJECT
INFO:
~~Affl~:
LOT #3.-1 to
FLOOD ZONE AREA DE5IGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
f21""'SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc. J
PROJECT INFORMATION:
Early Release
Permit:
~=B
Lot Split:
STATE:
ZIP'
~
BEST METHOD OF CONTACT:
,tom JLmA-iG
PHONE:
FAX:
CITY:
STATE:
ZIP:
SEmozo A
ZONING:.s _I
SQUARE j L _ c:
FOOTAGE: '-t\.Pv
003)-
N/51 D II
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Wh~lumbing codes will be applied to the construCtiorl:~ --
'?f International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
Manufactured
Trusses:
Sump Pump:
Print
~
OFfICE USE ONLY: *********************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTION
Reviewed/ Approv
S;Permits/FormS/llP RESIDENTIAL
UIRED:
# Charged Re-
Reviews
b
Site
Additional Fees
P.R.LF.:
Community Services (Oate)
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Date