HomeMy WebLinkAbout07030164 Application
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,
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit #: D76~OJ bLf
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APN:iCATIl)N
For Single Family, Town Home, &. Two Family:
NAME: .eAr~
New Structures, Additions, Remodels, &. Accessory Structures
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PHONEV ~FAX:
((]I;;tDf-6D ~)
~ ~......
CITYh ':::srATE:. /
(.:'~A'L.. J N
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tJII-Ll.e;J Ii
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ZIP:
"l/t;oJJ
BUILDER'S EMAIL ADDRESS~
BEST METHOD OF CONTACT:
NAME:
PHONE:
FAX: SaflI e ph It
- cc.J/ 1'r51
ZIP:
1/-603:3
\: ~eNING:Y2_ }-1.
. u-l- ef J)a.r
STREET ADD~SS:
. /5 lJ}1}1.::t> ii:"1v' PL
CITY:
-Qrmel
STATE:
:r/t/
SEmON:
3
LOT#:
ADDRESS OF CONSTRUCTION:
SQUARE
r FOOTAGE:
/4fJ
SEWER UTIlITY
PROVIDER: ~~
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
)( RESIDENTIAL (For
Additions. Remodels. Etc.)
i.:.,~~
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ill ill
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Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATION:
Early Release / Manuf~ctured
Permit: Y -=-N ......JWs5es:
Lot Split: _Y ~ Sump Pump:
____ FOUNDATION TYPE: (Check all that apply for the new
~ construction area) ~7~
_Y ~N .___-. 0 CRAWLSPACE b POST & ~ BEAM _PIER
~ '---.' .-./
_Y - 0 SLAB 0 BASEMENT'(WAL1<OUf:_Y_N)
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 pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennies 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 t~ ~~ppHcable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) an endments, adopted under authority of LC.36~TeFseq, GenmlAsser!tbly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitche ,ba ,and floor drains are connected to the'~itary sewer, I further certify, that the construction will not be used or occupied until a Certificate of
Occu tl~ been i e y the Departmeiii of Community Services, Carmel, l.ili.iana. ~
L. 1 st Fre-:1 h. GJa..es.u- 03-';3-01
Signature of Owne or Authorized Agent . Print / Date
***********10~*'* ****~**********************~:3**~*~****************
INSPECTIONS REQUIRED: ~llIng Fees: !.
~. Footinv Lower Footing Under Slab Base Inspections: / 6 b . .; rJ () # C~:~~:~s Re-
.. Cert. of Occupancy: <) 3. 5'"
C Rou9J1nr-::, Meter Base r Final Site--"
III ~III~ -~ P.R.I.F.:
f(!ta- tffiIIT
Reviewed/Approved: Dept. of Community Services (Date)
S;PermltsjFormsjILP RESIDENTIAL
Additional Fees