HomeMy WebLinkAbout07050190 Application
City of Carmel/Clay Township Permit #: 07050/90
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICArION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER N PHONE:
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RECORD: STREIT ADDRESS: CITY:
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BEST METHOD OF CONTACT:
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PROPERTY -~{J?
OWNER:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION
& PROJECT
INFO:
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FOOTAGE: Le S/I
ADDRESS OF CONSfRUCTlON:
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SEWER UTILITY f\...r'7} \. ~ WATER UTILITY ESITMATED COST OF CONSTRUCTION: C"'\
PROVIDER: "-- \ \"-""-' SJ PROVIDER: v""'-~ (EXCLUDING LAND VALUE) 01 --- 000
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET \>J- \ . \ . ~ . ~ I\.
NUMBERS; TAC DATE(S); AND/OR COUNTY WELLANDlOR SEPTIC PERMIT #'S (IF APPUCABLE): ,,\~ VV"\,\ -t,-I' 0- --X\J0el'(
/~~ \\ \\\
FLOOD ZONE AREA DESIGNATIOJl{Sl\~1 ~ \\ TAX MAP PARCEL #: .tJ:.- o1cF.P1
FOR THIS PROPERTY; \0-.. \l;:'--- \'\
./ II 0"\....................... \\\ \\
~.oF CONSTRUCTION: ~E OF.~~OVEMENT:
SINGfE~MiI;~/ ').. ~ N~ ST~RE
o TOWN HP~~\\ ~\~ ').. DOOM AD ION(S)
o TWO FAMIlY~\ '" PORO\' DDmON(S)
# of u';i~~ei!,g 0 DECK ADDmON(S)
constructed at' is ILl/REMODEL
time: \ \ \ \) _ Basement Finish only
o RESIDENTIA~ (For 0 ACCESSORY BUILDING
Additions. Re del 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
_~ CD~..-0.6ors
Plumber's Indiana State License #:
S?\tL> L\ ~1.fD
Whi9' plumbing codes will be applied to the construction:
r;i'International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana A~endments
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FOUNDATION TYPE: (Ch 'fHJ~IY for the new
construction area) O~\S ,0;'>\ \
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o CRAWl6P)>;C",,\\'\TI ~ 81J':'!2.~E&'1_PIER
()'('v~,ce (,0 _Q,'J'""" 0,\'1' /
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For Single Family and Two Family dwellings, additions, remodels, and/or accessory st '~i~~ ib~\~bruy~f:~ ction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate Occupan~~Gti1 ~~$'-rllo ths of the issuance date. Class 1
structure permits are subject to the General Administrative Rules of the St.ate of Indian~ (See.Ji~'C):t:n ~~. time frames for beginning and
completmg constructlOrQ~ ~ VI-"' \~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alte~~rQhuctur~, or any change in the use of land or structu~es
requested by this application will comply with, and conform to, all applicable laws of the State dt]l\diana, 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 until a Certificate of
cy s been issue the D ent of Community crvices, Carmel, Indiana.
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Manufactured
Trusses:
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Sump Pump:
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# Charged Re-
ReViews
P.R.I.F.:
Additional Fees
10-r'
Reviewed/ Appr Dept. of Community Services
S:Permits/FOflllsIILP RESIDENTIAL
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