HomeMy WebLinkAbout07050073 Application
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City of Carmell Clay Township Permit #: 0'7050 D7 3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER LITIlITY
PROVIDER:
STREET ADDRESS:
40
"",,*u
ADDRESS OF CONSTRUCTION.
\t:t5 lSR:.ClA."3+tTDW
CTkwt)
WATER UTILITY
PROVIDER:
s-r
oF- Gr
PHONE:
CCl"1
FAX:
'%llo-1C(5
STATE:
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ZIP:
PHONE:
FAX:
CITY:
STATE:
ZIP:
SECTION:
L-
~s\l>f:l.}11
SQUARE
FOOTAGE:
S'Z\3
C ii--~%L
II; 'I -. ',1\ \'1
ESTIMATED co, ~lqf IqD,' ,~$TR.I:!CTlON; ":-t,l:'tl\
(EXCLUDING~1DIA~P~ ~~:_~ ~ :~1 \1:\1
c; ~ft ,W/\ \ ::tt- ~;5:b&~tL
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TAX MAP PARCEL #: . i " ,
:1 \ I: ~-.o- ,_ :,~'t-
:2' -<>--:>' ,'j
I
J
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(SlX'
FOR THIS PROPERTY:.
TYPE OF CONSTR
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
,
-1 ' .~
.....' ,
,
TYPE OF IMPROVEMENT:
}!( 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
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
'6fL\cE- S "^- \~\-\- ~_I) lA ~,\ \,JG
Plumber's Indiana State License #:
}>C \ 0 \OO~ \ 1,9
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
~niform Plumbing Code wi Indiana A~ndments
FOUNDATION TYPE: (Chec!s.~~~ for the new
construction area) ~S~''(\ei~'V\V;
o CRAWlcpl~.o~\@00%~&~~PIER
o t~~ 13t~~ (~~Y->>)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory stru~ . to: ~d <i.'l~sbu'i:tion commences within ISO
days of the date of issuance of the building pennit, and must be completed (Certificate 0 ~c~ e~~rW"){~f the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana ( 675 lAC l{3~ . . at:l~rrme frames for beginning and
completing construction. '?"\ ,r.~ N-.O
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alterati~ st~l'i!; or any ~hange in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indr~n~he ~Zoning Ordinance of Carmel Indiana -1993n (Z'
289) and amendments, adopted under authority of I.c. 36,7 et seq, General Assembly of the State of Q1n~, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are con ected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
O~h he '"::lthe 'Ortm :'C01k;:;servic~:~t S. Sb~ .:2('1 lor
Signature of Owner or Authorized Agent I Print Date
Early Release
Permit:
PROJECT INFORMATION:
OFFICE USE ONLY: *************** ****** **********~****** .******* ********~'6~**********************
INSPECTIO ~UIRED: Filing Fees. }'J2,Z 9''::
.r.:., :---..,~ Base Inspections: G2az u ()
'l!f.per Foo!!!!9" ower Footm~under Slab "--1<', ><"'71
e Cert of Occupancy: '-./u' UU
Rough I Ina Site / A
, PKLF,: I 7 < ,CI U Additional fees
12 r~4: ; f .;?ri/ ;%-drf7
~~ 'fFJ~ Date
Lot Split:
_Y~N
_Y~N
Manufactured
Trusses:
Y~
:Z:Y_N
Sump Pump:
I
Dept. of Community Services
(Date)
S:Permits,lForms/IlP RESIDENTIAL
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