HomeMy WebLinkAbout07080187 Applicationjam' r.ck4 ., Permit #: 0909a
90
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOP
ctures
?T ? For Single FamilYr Town Home' & Two Family: 'o'?al New Stru c?oQmllov?ga' MISrys!TION
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BUILDER /?( 7 C iJ' NITY SERV 17,
NAME: p 16 AGe/IJ CITY A ?L CLAY TOVp1?79?iI D
44Jh/1414/ 60vel3K
OF
RECORD: /
sTREET RESS: r CRY: V ??INAI6vA)A /?/ zip: D
BUILDERS EMAIL ADDRESS: BEST METHOD OF CON{T.AACCTT:kY,?, _
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PROPERTY
vi FAX:
NAME: /)WEE "?f7r/1{ n a rQ PHONE: 9
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OWNER: STATE: //y / ZIP:
STREET ADDRESS: ?/ J?1
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LOCATION LOT ff: C> SUBDIVISION NAME:
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LL ZONING: ?
& PROJECT
INFO: ADDRESS OF CONSTRUCTION: g
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AUG 2 1 ZODI
SQUARE
FO
OTAGE:
SEtiYER UTILITY //? p
G WATER UTILITY /1
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BY ESTIMATED COST OF CON UCRON: /j
PROVIDER:
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PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION! BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL AND!OR SEPTIC PERMIT ff'S OF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL ff:
FOR THIS PROPERTY:
TYPE OF CONSTRUCT16N:
SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels. Etc.)
PROIECTINFORMATION:
Early Release
Permit: _Y _N
Lot Split: _Y ' N
TYPE OF IMPROVEMENT:
CNEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDrTION(S)
DECKADDITION(S)
D REMODEL
_ Basement Finish only
D ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
D DEMOLITION
Manufactured
Trusses: Y 'N
Sump Pump: _Y N
PLUMBING CONTRACI0 :
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE POST & _ BEAM -PIER
O SLAB O BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction rommences within ISO
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 l
structure permits 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.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation., or alteration of a structure, or any change in the use of land or structures
requested by this application will comply wdth, and cord t 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.G 3 et seq, GenenlAssemblyof the State of Indiana, and all Acts amendaco: r tere[o. I:urthzr certify that only
kitchen, bath, and floor drains are tonne red to thus irary sewer. 1 further certify that the construction will not be used or Occupied until a Certificate of
Occu cy n issu b the D tmenc COmmuniry Services I I, Indiana ?/
1o?Er?r AA TPS N
Ndre of 6whelifor Authorized Agent
OFFICE USE ONLY:
INSPECTIONS REQUIRED:
r Footi Lower Footing Und uIS ab
ugh in Meter Base final Si
R Cl? proved o Community services 7
S: Perml6/FOrms/ILP RESIDENTIAL
Filing Fees:
Base Inspections:
Cert. of Occupancy:
D D T F
ri -;-Charged Re-
Reviews
SS'?0
Additional Fees