HomeMy WebLinkAbout07080033 Applicationct? as i?q?\.
City of Carmel/Clay Township Permit:
( ! RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
t , aion?.j For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME. PHONE:
?1 -D FAX:
I1
'
RECORD: STREET A RESS:
a?? ti l CITY: STATE:
? is ZIP:
4
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
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ViC*riC,- a S ork- e • A
PROPERTY
OWNER: NAME. I ?
cja a? II?u,I I&Qv- PHONE: vFAX:
o
" ZV !?
i
STREET ADDRESS: CITY: ZIP:
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LOCATION LOT SUBDIVISION NAME: SECTION: y NG
1
tr O 11
PROJECT
&
INFO: ADDRESS OF CONSTRUCTION: I
Q? r nDI l L . SQUARE
FOOTAGE:
SEWER UTILITY WATER UTILITY
? PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
2 '
PROVIDER: t? \ l vl ?
l
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA i BRN DOCKET „»y?
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT A'S (IF APPLICABLE): _?•1 \?\? tY? -
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL
FOR THIS PROPERTY:
E OF CONSTRUCTION:
TY
P
?
(
X SINGLE FAMILY
O TOWN HOME
D TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc.)
P ROI ECr I N FORMATION:
Early Release
Permit:
Lot Split:
_Y ZIN
Y ?N
TYPE OF IMPROVEMENT:
NEW STRUCTURE
O ROOM ADDIrION(S)
D PORCH ADDITION(S)
D DECKADDITION(S)
D REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
D DETACHED GARAGE
D ATTACHED GARAGE
D DEMOLITION
Manufactured
Trusses: _Y _N
Sump Pump: V-Y_N
PLUMBING CONTRACTOCR: X17?
IiM 'IYQ.u `' J S ??//CCCIII „
P mbel's In Tana 5 to Licelse #: t???
Which plumbing codes will be applied to the mnstruction:
? C
92"'Intemational Residential Code w/Indiana Amendments /
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area) ? ,.rtr`.' `Q
CD C
O RAWISPACE fn? FIiC+IT6TL?"-T•EF
For Single Family and Two Family dwellings, additions, rnnodels, and/or accessory structures, this T;ermlt is ?OdLMV, LL e s 44 ' afi?aLA_ muomen(^?lYI
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy Lssu e I ula structure permits are subject to the General .Administrawe Rules of the State of Indiana (See ETS LA @h@ge?t es for beginning and
anent. r ng construction. w, Or( HrargfiAt4V r1A
[,the undersigned, agree that any construction, reconstrur.4on, enlargement relxation, or or alteration of a re, o: any than tTl dLSe of land or structures
requester by sits application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -19937 (2-
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 that only
kitchecfbath, and floor dm reconnected to the sanitary sewer. I further certify that the construction win not be used or occupied until a Certificate of
O cvak` l vh been is b the DQe tint of Commurtity Services, el, Indiana
'•/ (Jl?- ?Cforik oeI I 1 6
..s..?` Grim Oate
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OFFICE USE ONLY:
*i **************
Filing Fees:
INSPECTIONS REQUIRED: ?O # Charged Re-
?
Upper Footing Lower Footing Under Slab Base Inspections:
C; 6q
S
0 -
--Cert. of Occupancy: C ?
Rough In Meter Bas Final Site /
0?" /
Q
Additional Fees
P.R.I.F.:
GPz
a.1 t M 154-te '-77,0
.
Reviewed/Approvedx Dept. of Community Services (Date)
5:Pennits/Form0 P RESIDENTIAL Fee- Received by: Date