HomeMy WebLinkAbout07010192 Application
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'W';- - City of Carmel/Clay Township Permit #: ()f 0-
il. ) RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
\ _!~.Q:~!.:'/- For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:\\ ,,"oDf' \\0""'(.:) lLC- PHONE: <g4~ - \'is,s- FAX:~4d_ 51:) 'S
OF
RECORD: STREET ADDRESS: cm: STATE: ZIP:
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BEST METHOD OF CONTACT:
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PROPERTY \~~ PHONE:'i?~;} 1<67 S FAX: '?)~;l-~L,~
OWNER: ,LLL
STREET ADDRESS: cm: STATE: ZIP:
V \p \p It r; . '7 so- S. '~l{Dt> ::r.; \5, --rJ\J ' 0
LOCATION
& PROJECT
INFO:
L?~
SUSDlVISION NAM~ ~\ - \ ,'\ \ ~ON:
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ADDRESS OF CONSTRUCTION:
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C-'\R"'-.:l\)
SEWER UTIlITY
PROVIOER:
SQUARE I _ :-:<. '""'-
FOOTAGE: LX 0 .,) ->
\.."'''''"' '\x-, w..;tR\d- ,-J;;,u. L/ (P 1:\ 7
WATER UTIlITY ('\ \
PROVIDER: ~V-"""","t....-\
ESTIMATED COST OF CONSTRumON: C"\J. D r-v.......r-.
(EXCLUDING LAND VALUE) <Y'Ji \ ~
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET Q.. ~ .... a ;do,'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): '~_.;..)~-t:.-.'- -:--:,0-~-==-~~;:~~.;'
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0,01 Olq I
-
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if constrUction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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.
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 lndi:ma, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) and amendments, adopted undet authority of r.c. 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 Cern/icale of
Occu ancyh: been iss th artment of Communi Services, Carmel, Indiana. ~~
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OFFICE USE ONLY: ******************************~~***********************c*~~***5~***************
INSPECTIONS REQUIRED: FIling Fees: Y /;<, /
......c "F- t':::--" F t. U d 51 b Base Inspections: c-7"77 $0
<....!,1~p~r 00 mJl,.~ ower 00 m n er a ~3. _"
~ ~ Cert. of Occupancy: ~) v
~ ,Mete~ mal Site / -. 6/" ,y)
P.R.I.F.: _Q _ (j
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: )(
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL(For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y /N
Y ,~
TYPE OF IMPROVEMENT:
V"NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ArrACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
;;c-N
L~=-N
TAX MAP PAR.C~~-'#~-- - I , I .'
,I"' j :~. ,i,I"t--O-
;11 \\ \ n.1::/'
"1 I"~ . )'1
PLUMBING CONTRACT.. OR. " ;.J! \
\1)' \\ VV\.f-i:;~\""",\o ,,,,~____J c_~ I
Plumber's Indiana State License #: I
'\>\ ty~ 06d-'/"---"--- -" --"--
Whic,lumbing codes will be applied to the construction:
(S;YIntemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) I
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB g BASEMENT (WALKOUT:_Y_N)
\9q-Dt
Date
# Charged Re-
ReViews
Addibonal Fees
C IS
ReviewedjAp roved: Dept. of Community Services (Date)
S:Permits/forms{IlP RESIDENTIAL
~
Fee ReceJv by: