HomeMy WebLinkAbout07030223 Application
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City of Carmel/Clay Township ~ft"Ir\11 2Z
RESIDENTIAL IMPROVEMENTL~COONlrJ'IE ICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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FAX: 511' t?"11. ~005
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BEST METHOD OF CONTACT:
e- vttilil pr all
PHONE:
. ~llHARO ~ I<flJ; FRffHAN '711:'/0 'OqZb
CITY'
R-AVFoPJ) PLftt CAAk'a
SUBDIVISION NAME:
IJrt.t
BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
11
LOCATION
&. PROJECT
INFO:
.LOT #: .:;-
SEWER UTILITY
PROVIDER:
PHONE:
311-010'01/2
20/.51-,0
I I'\t.- ho~S ,ColVt
FAX:
STATE:
N
ZIP:
SEmON:
ZONING:
032
:1.
ADDRESS OF CONSTRUCTION:
III
~
SQUARE
FOOTAGE:
. aOO -t
\ -
~
ESTIMATED COST OF CONSTRumo\S-
(EXCLUDING LAND VALUE) 1=/0 '2J::1J. ceo.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF AFPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIDENTIAL (For
Additions. Remodels. Etc. J
~
PROJECT INFORMATION:
Early Release
Permit:
_Y2LN
Y )( N
Lot Split:
y: ~ k{l
TYPE OF IMPROVEMENT:
TAX MAP PARCEL #:
Sump Pump:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
~ ATTACHED GARAGE
~ D~1~dN~ . o.MA) FOUNDATION TYPE: (Check all that apply for the :new
Manufactured . f construction area)
Trusses: _Y ~N 0 CRAWLSPACE 0 POST & BEAM _PIER
JL _____,,_____:::;::,1
c--- Y.. _ ,N;:;-\--iF-:'\ \:!/ r~~f't ~if'~, 0 BASEMENT (WALKOUT: N )
J_ c-~, fr-::':"_ (( .._.:;J \ \', L....J \\ "I I
For Single Family and Two family dwellings, additions, rem04Jl~:~dlo'f!a~~;s6ryitn;ct~~ this ~~t\: -valid only if construction commences wit. 180
days of the date of issuance of the building pennit, and must l?e lco~~leted (Certificate of Occupancy tS~~1 ) within I SSuance ;q.\,'\~, I
structure permits are subject to the General Administrative RU\~\~~~I;:i;Mt~~~~~~p IA\\YJ;' ~. expiration ~~r bel' land
I, the undersigned, agree that any construction, reconstruction, enlargert.~*t, relocation, or alteration of a sGktUr Yichan~h-:-____-]l1l~ st
requeste by this application will comply with, and conform to, all a~\ f!lic~le laws of the Srare:..of.lndim:. :r,and the ~ .in 'Ordinance of Carmel Indiana -1 1""<1. '. ~
289) an endments, adopted under authority of LC 36-7 et seq, G neral ~b1f of the State of Indiana, and all ts ~ndatory thereto. I ~r.cer' ~hat~~nly
kitche b th, iIld 00 . s are connected to the sanitary sewer. I rther certify that the construction.win'not ~ us.dd,or.occupied-iiildh .CertifiCite b'f.J i 'I
Occu has en s~e -Yt DepartmentofConunUnitySe~~ \.\"-.\\ ~~n I/v;~ u ~.:.iJ ~ 2~.~:=.J
WID 6 'i3/tt}JJtI<J L==-=-"::::_---- 3.'zq'DI
Agent Print Date
***********************************************~*************0****************
INSPECTIONS REQUIRED" Filing Fees: ,;2 5""3. 51
" Base Inspections: /6 c,. 5 () # Charged Re-
Upper Footing Lower Footing Under Slab I Reviews
Cert. of Occupancy: ,oj 3- )0
P.R.I.F.: / Additional Fees
~~Ln /;~ 173 5P
Fee Received bv: ~--- 0.../ U Date
Rev'
S:PermitsjFormsjIlP RESIDENTIAL
PLUMBING CONTRACTOR:
r-!/t>.
Plumber's Indiana State License #:
-WA
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments