HomeMy WebLinkAbout07080185 ApplicationPermit
City of Carmel/Clay Township
RESIDENTIAL RvIPROVEMENT LOCATION PERMIT APPLICATION
aoia ?-' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME:
u at-S- es PHON
?1?. N2 73 FAX:
3o, 3p -7319
RECORD: pp? ??pp
[P U SD 1 e l a6m ' TATE:
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BUILDER'S EMAIL ADDRESS: BEST METHOD OF C
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CT:
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PROPERTY NAME:
S n L PHONE:
OWNER:
STREET ADDRESS: CITY: i 1
-o G" ZIP•
t
LOCATION LOT #' SUBDIVISION NAME: , J
1
/ ? ?\ CTIOL'?
Y 1 ? ZONING: \ \l
?
& PROJECT Y
gM
INFO: 4
ADDRESS OF NSTRU N: SQUARE
ou-v
SEWER UTILITY
PROVIDER: Cu M Q WATER UTILITY
PROVIDER: ?, I ?1 111 ESTIMATED COST OF CONS-IRU
(EXCLUDING LAND VALUE) ow- -
W
?1
NAME OF UTILITY EXCAVATION CONTRACTOR; CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
1
OR COUNTY WELL AND;OR SEPTIC PERMIT v S (IF APPLICABLE):
TAC DATE
AND
NUMBERS
S
?, I [7 - - I - _
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N
- l?
"
(
; /
); 111 -
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FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL k:
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
P/SINGLE FAMILY
TOWN HONE
? TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc)
Lot Split. -
TYPE GV?IMPROVEMENT:
LZ NEW STRUCTURE
D ROOM ADDITION(S)
L] PORCH ADDITION(S)
T7l DECK ADDITION(S)
C) REMODEL
_ Basement Finish only
O ACCESSORY BUILD-
--0 DETACHED GARAGE
a ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses:
Sump Pump:
Y /%N
PLUMBING CONTRACT
GlA'a E ffl t+k
Plumber's Indiana State License #:
1A M 1
Whi plumbing codes will be applied to the construction:
7ntemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendt[Lgnts
FOUNDATION TYPE: (Check
construction area) (,OC
O CRAWLSPpM;?' -Q-j)
new
For Single Family and Two Family dweIIWgs, additions, remodels, and/or accessorystructures, i?y'
davs of the date of issuance of the building permit, and must be completed (Certificate of Oct. a
structure permits are subject to the General Administrative Rules of the State of Indiana (See 6751
completing construction.
'commences within 180
issuance date. Class I
ones for beginning and
I, the undersigned, agree that any construction, recorsstff ?5?r Ord ,,yn or alteration of [dtl; or any change in [h e use of land or structures
requested by this application •.vill comi,yutT}rty aBF t?c3P=""III $LS[ate of Indiai the Zoning Ordinance of Carmel Indiana -1993" (2-
289) and amendments, pt<d under Lth?pe f ICk'i355 FFt Ggnei?'eT Assembly of the State of Indiana, and all Acts amendatory thereto. I Further certify that only
kitchen, bath, and % rchins are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
O pane -has bee issued by the Department of Community Services, Carme(.Indiana.
9gnature or owner W AUthclrixl?d Agent Print Date
OFFICE USE ONLY: INSPECTIONS REQUIRED: Filing Fees: / q•?0
Base Inspections: 7 y ?• 5? # Charged Re-
Base otingCert. of Occupancy: 6'S _ • ?n Reviews
n eter Base Final Site
P.R.I.F.: /!2-L rQ1 y 20 Additional Fees
CRAIL .M t S Sr -27 -67 TOTAL: 3 3.-W
Reviewed/Approved: Dept. of Community Services (Date)
S:Pennea/FUrmSJILP RESIDENTIAL
PROJECT INFORMATION
Early Release
Permit: _Y -!?
Y N
Fee Rerelved W:
Date