HomeMy WebLinkAbout07080181 ApplicationPermit #: ?? ?oBD 6?l
City of Carmel/Clay Township
RESIDENTIAL RVIPROVEMENT LOCATION PERMIT APPLICATION
rxo`cx ,% ' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: ^
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PHONE } n /??, ` FAX: ?I ?r(l /? f?IQ
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RECORD: SM
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ATE: ZIP:
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BUILDER'S EMAIL ADDRESS: BEST METHOD OF,CO ACT:
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PROPERTY NAME:
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PHONE://
OWNER: 1
STREET ADDRESS: CITY:
mz,? ZIP:
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LOCATION LOT S: SUBDIVISION NAME: /?? SECTION:
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& PROJECT I
INFO: ADDRESS OF CONSTRUf?AyONp: ARE
--FOOTAGE: I
SEWER UTILITY
PROVIDER: WATER lm
PROVIDER:,
.
J? ESTIMATED COST OF CONSTRUCTION'
(D(CLUDING LAND VALUE)
BZA / BPW DOCKET
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION
NUMBERS; TAC DALE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT :'S (IF APPLICABLE):
/(A 6
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL .°.:
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING C ??IINTRACT ?///'?
? INGLE FAMILY O NEW STRUCTURE A? G I "'
TOWN HOME O ROOM ADDITION(S) Plumber's Indiana State license #:
O TWO FAMILY O PORCH ADDITION(S)
# of units being DECK ADDITION(S)
constructed at this
O REMODEL Which-plumbing codes will be applied to the construction:
time: _ Basement Finish only ,??
? RESIDENTIAL (For ? ACCESSORY BUILDING Fd, Intemational Residential Code w/Indlana Amendments
Additions, Remodels, Etc.) O DETACHED GARAGE ? Uniform Plumbing Code w/Indiana Amendments
O ATTACHED GARAGE
PROJECT INFORMATION: O DEMOLITION FOUNDATION TYPE: (Check all tbatlapply for the new
ko \ I??
Early Release Manufactured construction area)
sj(k a offs
Permit: _Y Trusses: vY ?DF? ??y??QI. i??.ec5§O -BEAM -PIER
Lot Split: _Y _N Sump Pump: _Y N _. t,'mt SLAB v(? v t t y9A. a'ArJOrwn CWA -Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory•gptd6 `s, t Pi ?? if co 6*tVmmences within 180
days of fie date of issuance of the building permit, and most be completed (Certificate of Occt7 _ )? ttiih'ps? Sw n of the issuance date. Class 1
structure permits are subject to the Wr iaDa raC#ling`Ez ation time frames for beginning and
'cc-.GP,..
I, the undersigned, ag_ee that any c ?c Vctiogrg? n -o tt°' Qt j a sc=acturaay change in the use of iand orstruemres
requested by this application well camp tl:,' .6- . a ,,?5 rt ndiana, and the "Zoning Ordinance of Carmel Indiana -1993" (2-
259) and a:nenchn '' adopted m authority of I.C. 367 et seq, General Asee mb yly offfihp f Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and door drains arehnnecced to the sanitarysewer I further certify that the construction will not be used or occupied until a Curare of
Occupan ? as been issued by a De ent c f Community Services, a lndi a.
el? 1?. ?i ?? k?- h u,
49nature o(Owner or AuNadzed Agent Rtnt Date
OFFICE USE ONLY: ***xxxxxx****xxxx***xxxxx*x*.xxxx**xxxxx*****xxx**,xx****+g**sxxx***xxx***..xx
INSPECTIONS REQUIRED: Filing Fees: y?
U per Foottn Lower Footing nder Slab` Base Inspections: ?i g 7' J y ??Re_
Cert. of Occupancy: 5S.
ough In' Meter Base Final Site //--
P.R.I.F.: 1 ?UL1 I Additional Fees
CIZ.41c-? ?-1!i? Z-a7 TOTAL: 3/0* D
Reviewed/Approved: Dept. of Community Services (Date)
S:Pe,nWF.MW1LP RESIDENTIAL
Fee Recelved W:
Date