HomeMy WebLinkAbout07080183 Application-iti of Ca'„a?
City of Carmel/Clay Township Permit #:Jr7o at -83
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. PHON F
C PS (7 7 b-:In 3 31
OF 1
RECORD: ETIIAD,,D?R-EES?S: ITY
- 11 ? ATE
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UJV ?I 'If;' 7 ?I
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BUILDER'S EMAIL ADDRESS: 11 iMEiH I I I F1?CI I MAR.
PROPERTY NAME. ?? III
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I L? N [; , I I
U FAX:
OWNER: LI
' L
STREET ADDRESS: CFTY: I STATE: ZIP :
LOCATION
& PROJECT LOT SUBDIVISION NAME:
' ? I SECTION:
ei??-em
IL I
I ZONING:
V
INFO: ADDRE??S((S OF CO UCCrION/t:
IO
?
k SQUARE
FOOTAGE: G
Z
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Y I l{.U I
I 1
cY 1. C I
I
SEWER UTILITY WATER UTILTIO
PROVIDER
I //1 A ESTIMATED COST OF CONSTRUCTION: ¢ j
(EXCLUDING LAND VALUE) W I
D
PROVIDER: :
I l-L
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET 1-T
OR COUNTY WELL AND/OR SEPTIC PERMIT w S (IF APPLICABLE):
AND
S
T
C DATE
S S
NUMBER
;
A
( )
);
J U
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #:
FOR THIS PROPERTY:
TYPE OF. CONSTRUCTION:
C, SINGLE FAMILY
TOWN HOME
? TWO FAMILY
At of units being
constructed at this
time:
? RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y. N /
Lot Split
TYPE OF IMPROVEMENT:
Si" NEW STRUCTURE
? ROOM ADDITION(S)
O PORCH ADDMON(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
D DEMOLITION
Manufactured
Trusses:
Sump Pump:
?Y
Y
For Single Family and Two Family dwellings, additions, remodels, and/or access
days of the daze of issuance of the building permit, and must he completed (Cei
structure permits are subject to the General Administrative Rules of the State of
PLUMBING CONTRACTOR
_VW Plumber's ndiana State License #:
Which pl bing codes will be applied no the construction:
temational Residential Code,Wndiana Amendments
O Uniform Plumbing
all th@yapply for the new
BEAM -PIER
Tr ?"
le ?p? ) 41E (WALKOUT:_YN )
of
construction commences within 180
6?Nyissue avlthin 18 months of the issuance daze. Class I
IAC 12) regarding expiration time frames for beginning and
I, the undersigned, agree that y s e ? c loanon, or alteration of a structure, or any change in the use of land or structures
requested by this application i of the State of Indiana, and the "Zoning Ordinance of Carmel Irdiana -1993" (Z-
289) and amendments, adopted under authority of I.C. 364et seq, General Assembly of the State of Indiana, and all Acts anendatory thereto. I further certify chat only
kitchen, bath, and door drainTe connected to the sanitary seceer. I further certify that the construction will not be used or occupied until a CertiGnte of
Qulzmw-?(l epartment of Community Services, Carruel. Indiana.
PrirK Date
OFFICE USE ONLY: ************************************************************* *.********s******
(?
Filing Fees: •
INSPECTIONS REQUIRED: s:
I
ti
B 1 7
/ if Charged Re-
?Vpf Lower Footi nd'er Slab nspec
on
ase .
6
5
160 Reviews
Cert. of Occupancy: 1
,
-
gt eter Site
I
P. R.I.F.:
J LL! • lJ
Additional Fees
Reviewed/Appro ed: Dept, of Community Services (Date)
S:Pennjs/F.T,W1 P RESIDEtmAL fee RECeh' Date