HomeMy WebLinkAbout07010186 Application
SEWER UTIlITY WATER UTILITY
PROVIDER: C . . PROVIDER: C
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NAME OF lfTILI1Y EXCAVATION CONTRAcrOR;PLAN"COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1YWELC'AND/OR:SEPTIC PERMIT #'5 (IF APPUCABLE):
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PE~
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remol
Permit #:Q1...olI2.1Z.Jp
Please call ~7630 for
permit pick up
~
NAME: fAX:
D 5 (3/ 'i?
STREET ADDRESS: CI1Y: STATE: ZIP:
(" I "U:.\A lS IN 1./ :J. <6
BUILDER'S EMAIl ADDRESS: BEST METHOD OF CONTACT:
Ib'R- a.>
FAX:
b 3/ 3'f7-73/11
STREET ADDRESS: STATE: ZIP:
ZONING:
SECTION:
3
5-
9
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSWUCTION:
(EXCLUDING LAND VALUE) Il J
Jb
T'NG-
/ /
TYP OF CONSTR~ \ _" 0) PE OF IMPROVEMENT:
~o SINGLE FAMI&/.?'}/ "\, G/ NEW~RUCTURE
o TOWN HO~E~<'? ~ /0 R,OOM ADDITION(S)
o TWO FAMILY C:-~ ':) /' 0 PORCH ADDITION(S)
# of units'b~!ng;, / D0>ECK ADDITION(S) 101777
constructed at:this' . rif R~EM EL ~i'" .
ti ">,- ,:-~'<:<~" / I . . I ~ W ch plumbing codes WIll be applied to the construction:
./ me: " ...... "'v' ~ / Basement F~WJ on y
'\If RES~~ENTIAL (FOr'~" 0 ACCESSORY BUI(:ltdlfAS 0 International Residential Code w/Indiana Amendments
\ AddItions. Remodels. Etc.) / 0 DETACHED GARie~ject t 'R .r"fo!i.-"'"'....h!JtCfn II d' A d ts
V 0 ATTACHED GARAGE 0 CO . Ohl Imr",,1'l''l ~ W n lana men men
\ of St lanCe WI/ al UN
'JECT INFORMATION: 0 DEMOLITION DEPT OF ate NO ort id"~eck all that apply for the new
../ Manufactured C~ OF.: COf\~~ )
_V '---1 Trusses: ~Y_N CARMEL I Ctl\?~litfJ;V.4.QESo POST&_BEAM ~ER
_V IN Sump Pump: -.'Lv _N INOIAIVr;!tJ SJ~Ii\{M"~ENT (WALKOUT:_V_N)
'unity and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
\ate of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
\.its are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
\ completing construction.
\ agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
'DUcation will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana -1993" (Z-
\, adopted under authority of I.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
\drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
_ued by the Department of Community Services, Carmel, Indiana.
'1_' 10/1." A. B"./l.hs""jG--HEI\\I:^JI: J /;)(pJ()7
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\""'5 ~9i~ED: Filing Fees: 1":3 ? <;0
i Base Inspections: ) II (U # Charged Re-
o HJ rJ ReViews
;~ ~ Cert. of Occupancy: )'J. 52
Final Sit~ . "
_:- P.R.I.F.; Additional Fees
Q.elease
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TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
JAu' E. SM;n-l
Plumber's Indiana State license #:
~y Services (Date)
d T 1'5p. ('(.-1-:.0.--$
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