HomeMy WebLinkAbout07040094 Application
City of Carmel/Clay Township Permit #: 070Lj-OOq~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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BUILDER
OF
RECORD:
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3T7-,?l{'?~/Q:55 ~i7
cA~MtL IN
ZIP'
BEST METHOD OF CONTACT:
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STRE9A'fRESSW A If.f<J / 0 E CI RaE.. cCA f(fYl f. C iiATE:
LOT': 1 Jf) SUBDIVISION NAME:
I - -33 -{()-CX)-O:;J3.0oD
A,r73 FjN7roN6AA
I RJ<., Cd fT\
NAMEj-"o.sEPH tN. STEFF~N
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SECTION: //
/
/ s'-oo~9
ZIP:
6'033
ZONING:
tj
CAR.lYlf:l.. :tN,
/
/
(/60"33
SQUARE
FOOTAGE:
1~90
SEWER UTILITY
PROVIDER:
WATER UTIlITY
PROVIDER:
ESTI. . .M.ATED COST OF CONSTRUcnON:/S
'(EXCLUDING U\ND VALUE)
,.....-',,\\ ..
'\1 \ \1
\1 \\'
\,.1 \'
,,\ \
o 0 0 .QQ..
~
NAME OF UTIlITY EXCAVATION CONTRACTOR; PlAN COMMISSION I BZA I B~.PC>CI<El:""1 ". ~~
NUMBERS; TAC DATE(S); AND/OR COUIffi' WELL AND/OR SEPTIC PERMIT .:S (IEN'Pl!CABLE):
'-,\ 1__-___
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
,.;J RE~~e~NTlAL (For
'It Additions. Remodels. Etc. J
. , n. \ \ \ ... 7J AX r-iAP'PARCEL .:
-/.(nsltCL.de~}\\ ~\\~~ .___j'. \
TYPE OF IMPROVEMI!NT:\ \ ~ul PLUMBING CONTRAcTOR:;J
\II 1~"1J"'"...--j ~
o NEWSTRUCTURE"'-\~V-'t't,Cl-.l ../ O'1e....
o ROOM ADDITION(S) ~.1/1. ,( Pjlim';;"slndiana State License #:
o PORCH ADDmON(S) 11___:)
o DECK ADDmON(S) v -
o REMODEL Which plumbing codes will be applied to the construction:
_ Basement Finish only ~
~CCESSORY BUILDING 0 International Residential COd.e wI ~^:Amendments
ETACHED GARAGE ".
o ATTACHED GARAGE 0 Uniform Plumbing Code wI .ndments
PROJECT INFORMATION: 0 DEMOLITION FOUNDATION TYPE" m~i~t '~"""e new
Early Release Manufactured / construction areab~ "O~ -tl\~ ~ c,o ~1J: :..~'?~~.
Permit: Y /N Trusses: Y N 0 ~~~~~~~~~BEAM----.-PIER
Lot Split: Y /N Sump Pump: Y ~ ~~O~~"8 \~~~LKOlJT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structure~ enm ~ ~~~;C'.' ction co~ences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of occupanCY~{;M'~lS . " 5 of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675lA.'C(}2)J ng exy. tian time frames for beginning and
completing construction. V....-<'l
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of~c,ture, 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 ~Zoning Ordinance of Carmel Indiana - 1993~ (Z~
289) and amendments, adopted under authonty of I 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 drams are connected to the samtary sewer I further certify that the construction will not be used or occupied until a Certificate Ofl ~-:
Occup has been issued by the t of Corrununity Services, Cannel, Indiana. _
tv Jo.s~fl/l w. Srcj:l't::JV if-fO -07
Print
FLOOD ZONE AREA DESIGNATION
FOR THIS PROPERrf:
TYPE OF CONSTRU
o.le
OFFICE USE ONLY: ****** ********** **************~~********************13* P* '-zr*******************
INSPECTIONS REQUIRED: FIling Fees: -' )~
. '" Base Inspections: / I/;Z J ()
per Footm Lower Footmg Under Slab -..- <" d
~~ Cert, of Occupancy: , C)..J , }'
Meter Base inal Si~
_:;/' P.R.I.F.:
~/T66..?d
Fee Received by: Date.
# Charged Re.
ReViews
Additional Fees
~
Dept. of Community Services
S:PermltsjFCJ(fl15/ILP RESIDENTIAL
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