HomeMy WebLinkAbout04120075 Application
City of Carmel/Clay Township Ai f1J Permit ttOLJ/ :2..0D 7!:J
RESIDENTIAL IMPROVEMENT L~:;ION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
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818 ,1"3'1$
FAX
CITY
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STATE
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ZIP
L..j("~5D
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BUILDER'S EMAlL ADDRESS '" . BEST METHOD OF CONTACT:
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FAX
PROPERTY
OWNER:
PHONE
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NAME
SAy r'\\nuY-V"'\~
STREET ADDRESS
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CITY
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STATE
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ZIP
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PROJECT INFORMATION:
/, FOUNDATION TYPE:
Early.Release / Manufactured construction area)
Permit: Y v' N Trusses: ZY N
- -y - 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump:' Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~
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 permits 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 aity 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 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 u ill a Ci . a.te of Occupancy has been issued by the ~epanment of Community ServICes, Carmel, Indiana.
< \<')ce.\":\,,, 7 o\te v5 \'d- r~-cH
o OWn ror u 0 p~t U Date
OFFICEUSEONLY:************************************************************************
Filing Fees: 'f <., 8'. - 7-cl
INSPECTIONS RE UIRED: (OWo
Base Inspections: 0 I # Cha~ged Re-
Upper Footing er Footing nde ASE K t7l Rey,ews
O::OO~~. "V VI '
Final ~ect to co /ip\:!c;e with all retJ~. ., D
a e Irt! '[ gu all ,r..'
DEPY OF C~MMUoca;:;odes,. 75
proved: Dept. of Community Services C";:e~F CARME 'K~~ / A hi -~
LP RESIDENTIAL Fe
LOCATION
& PROJECT
INFO:
LOT #
SUBDMSION NAME
SEWER lITILITY
PROVIDER:
o
o
L
ESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOliTION
SECflON
ZONING:
SQUARE ;;::" U...,
FOOTAGE: <-.J I I I
ESTIMATED COST OF CONSTRUCflON: D ....., 0 01'\T"'\
(EXClUDING LAND VALUE) 0> I vv
..j~\\
.;it OL.j 1'2.60
PLUMBING CONTRACTOR: ,
~\b 9\,-,~\:)\~
Plumber's'Indiana state License .
r ~ 9,02"8(") \ <xli
Which plumbing codes will be applied to the construction:
~temational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w IIndiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
o POST & BEAM
~BASEMENT ~
WALKOUT:_Y~N
Additional Fe,/-,"
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