HomeMy WebLinkAbout07060062 Application
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel! Clay Township Permit #: () 7 E){a ()rx;a.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
FAX:
;( ;)()fo 5
STAJT, E,: \
~L- N
/- 792-
7003 J-
BEST METHOD OF CONTACT:
m EfVJA-IU
FAX:
NAME(: ^ A I
~V\E
PHONE:
cm:
STATE:
ZIP:
ZONING:
-s-i
ADDIE! OF Tv,cnoU)
SEWER UTIllTY
PROVIDER: CA QJ..-/EL
WATER UTIlITY
PROVIDER: LA-Q.M (;L
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / 8PW DOCKET
NUMBERS; TAC DATI'(S); AND/OR couNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
T~7A~PARCE~#3& -03 -03 -04-4.0
.NSTRU~NG CONTRACTOR:
I D~eW ~~~~~~ alJ regulatIOn. t-tA-fYl m ci- ~()AlS, I AI ~
C R~md~~ Odes. Plu~b'7i's Indiana State License #:
~~~MFef1~LAY SERV/~I 000 10 I
o REM~~:;,(N/J/FlIl~!A onl/OW~\lilnbing codes will be applied to the con....uction:
o ACCESSORY BUILDING iQ'international Residential Code w/lndiana Amendments
o DETACHED GARAGE .. .
o ATTACHED GARAGE 0 Untform Plumbmg Code w/Ind.ana Amendments
o DEMOLmON
o
FLOOD ZONE AREA DESIGNATlON(S) !.. \ /
FOR THIS PROPERTY: f'J ARE
TYPE OF CONSTRUCTION:
o "sINGLE FAMILY
g'TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Manufactured
Trusses:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
Permit:
o CRAWtSPACE_D_eOST & BEAM PIER
19'"5LABII~\ ~@NT~AUKau'f:f'--::'~\ iN)
I./'-J'/. '-_~"\.I L...:::..-'::'!1111
F S. I Famil d T F 'I d II' dd' . od I d! till. /.1 l./a1'd' nI if . It J I. 'hi" IBO
or mge yan wo amlY we mgs,a ltlOns,rem eS,an or accessory structures, sperIJlltjls~v.. IrO y construcnoncommen<;~~Wl~, n
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) ~thin 18IVl~~ths of the issuance date.1 Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) Ugati.:iihg expiOOorrtm& ~ for begmpi~g and
completing construction IOU I III ) J I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structUre, or any.chang~n the use of land or stru"ctures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and tl\b "Zoning Ordinance of Carmennaianal- 1993"; (Z-
289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and fall Acts amendatory thereto. I further certify t~at only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied-untih.Certij}czte,of
Occupanc has been issued by' the Department of Community Services, Carmel, Indiana.
:'\ 0J.OA-tJNE
s~ ature of wner or Authorized Age Print
Lot Split:
y~
yv1J'
Sump Pump:
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yvN
\S MEPHEtZL\
(/J /4/07
I....
OFFICC SEONLY:******************************~~****************~******************************
INSPECTIONS REQUIRED: Filing Fees; () ::::;;; ~ ~
cuP' . Base Inspections: ;2. B. 7, -.5 {)
Upper F~ Lower Footing Under K.".- S
Cert. of Occupancy: '---^-.), 0
/ 2fyf . 0 0
3
Date
# Charged Re-
ReViews
P.R.I.F.:
Additional Fees
"
Reviewed/Approved: Dept. of Community Services (Date)
S:PermltsjFormsjllP RESIDENTIAL
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