HomeMy WebLinkAbout07070147 Application
City of Carmel/Clay Township Permit #: (j) 71f!O ct 7
RESIDENTIAL IMPROVEMENT LOCATIp~: f::E:Q}I,I~ A1PUCATION
For Single Family, Town Home, & Two Family: New Structures, Additions,-Remodels;&-Accessory Structures
;: L-/j i i i i i H '
NAMi! . PHONE: ! I ii '.1. .llH..'A 20()'f.: I !.I 111
t'. 3 \ 11 r i717o- r\ r~ 3Im-'lr(r.. -~C> 10
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rqq~Oss:es. c~\AE& \ ZIP: b06 'L
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
BUILDER'S EMAIL ADDRESS:
\ e;JS C
NAM~~N T \
c..S
&1\* C\l2.G\e
5\~~^MS
~ o~'EtJ\ C\2C\~ ~"'"
LOT#:
9'1
SUBD2VISION NAME: , \
:s M\
WATER UTILITY
PROVIDER:
c
c..
I BEST METHOD OF CONTACT:
"e- I -\ . I'
<.. A, OR CtA
65'1-552(0
ADDRESS OF CON
\ 'Z..ciS"\
~,~
PHONE:
'3\'1- 'l\S~"l9~S-
FAX:
Nft
ZIP:
.ct<.:,o'32..
SECTION:
S
ZONING:
~s\
Z~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I B OCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATlON(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.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y~N
_Y-i-N
A
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADOITION(S)
o PORCH ADDITION(S)
o OECK AODITION(S)
~ REMOOEL
Basement Finish only
)lli' ACCESSORY BUILDING
o DETACH EO GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
Sump Pump:
Y~N
_YJLN
TAX MAP PARCE,{(iOiANA
PLUMBING CONTRACTOR:
J.~ <;;~~\-'^
Plumber's Indiana State license #:
?c.. \ q", 00 \"2- '0
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amend~ents
~ Uniform Plumbing Code wjlndiana Amendments I
FOUNDATION TYPE: (Check all that apply for the 'new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
j2{ SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structur~s
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 authority of I.c. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify tikt only
kitchen, bath, and floor drains are connected to the sanita further certify that the construction will not be used or occupied until a Certificate of
Occup y has been issued by the Departme 0 unity roces, Cannel, Indiana.
.--
-~ \\rolMft~ L
Signature of Owner or Authorized Agent
/
Print
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~
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OFFICE USE ONLY: *************** ;,* ** *C***(~~~q****F*I. ***F*** ********* ** **~~*/***S;;*******************
INSPECTIONS REQUIRED: (j II) 9 ees: ~ .'
Upper Footin Lower Footing IUnder Slab~0 .Base Inspections: 1112_ )~ # C~::~::~sRe-
U tl: ert. of Occupancy: 0 ~ ' :)0
Meter Base F' I Si r ~
P.R.I.F.: Additional Fees
, - ---0 ;;/ _ .J9T'~y/ .# 0" 5'[1 '
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S:Permits/FormS/ILP RESIDENTIAL Fee Received by: II' Date