HomeMy WebLinkAbout07030026 Application
City of Carmel/Clay Township Permit #: {/}~~ (J(J 2Ip
RESIDENTIAL IMPE:QYEMEN'f;LO.GAWI0N\PiERMIT APPLICATION
For Single Family, Town Home, ~Ji,!,:,9:l'all,ily:;-,~e\li,Structure.si Adc!itions,lR,emodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIliTY
PROVIDER:
., I _ _^.' r\_
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vl"'\n NOfflA)A- STATE: ZIP:
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t- BEST ;'~f.j...Q~P~AO:~
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PHONE: FAX:
948- 7d-9').. e'f$- 7:2Qs-
NAME:
)
o
STATE:
ZIP:
b?-g()
ZONING:
'R3
SQUARE 03
FOOTAGE: 1, r:
cm:
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elf";' :!O"ff
laAJc,,'I/ ..., /51-
07 "51-
SUBDIVISION NAME:
t ..x""",,( ('(
ADDRESS OF rmJCfRUCTION:
7 C:. 107 sf
tV tr
WATER UTILITY
PROVIDER:
fV4-
()f
J
SECTION:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) J. g
, ,iiO;:)
NAME OF lfTllITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
u)tSWea
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
IM""DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
TYPE OF CONSTRU
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit 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 Indiana, and the KZoning Ordinance of Carmel Indiana - 1993n (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 certify that only
kit , ba ,and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certilicate of
Oce c as been issued by the D ment of Community Services, Carmel, Indiana.
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Print
Early Release
Permit:
Lot Split:
/ Manufactured
y ~ Trusses:
_Y _N Sump Pump:
./;_N
_Y....LN
USEONlY:******************************~~*********************~*****~t1*******************
INSPECTIONS REQUIRED: Filing Fees: ,/ ~ 3, ,.J
/4 If, 50
/
S'3. ,j(}
Revie
:11
TAX MAP. PARCEL #:
I j f~\ j :
Iii !i1
_ h ~nn7
PLUMBING CONfRACTOR:
!
Plumber's Indiana.State.Ljce~se #:
Which plumbing codes will be applied to the construction:
o 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
CB'SLAB 0 BASEMENT (WALKOUT;_Y_N)
'Dlfll/S
3 -~-(/7
D.le
# Charged Re-
Reviews
Base Inspections:
Lower Footing Under Slab
~eter Base ~ 3
P.R.I.F.:
Cert. of Occupancy:
Date)
Fee Received by:
Additional Fees
/-.;/./,;;'~L 3.33. ;-Cl
(/ _ Vtt-Iif t'
Date