HomeMy WebLinkAbout07080219 ApplicationCity of Carmel/Clay Township Permit #, 2 E
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
xai.aa.% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: ,,..
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J"ES 3o:LafNt PHONE: FAX:
317- 71Y 37 317- 336- 751117
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RECORD: STREET ADD
x 3N 1 CITY: STATE: ZIP:
40-01EL __*V _440 T2_
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: Q r
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PROPERTY NAME: PHONE: L'F )OC; !!l ?nFAX:a.:i? :r.: -
OWNER: ee- o; Sias no ,_.
STREET ADDRESS: CITY: c'i- •)i??'?IIP'_=;l'r,
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CITY OF CARM,EL / CLAY
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LOCATION LOT x: SUBDIVISION NAME: SECTION: IN DI
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& PROJECT
INFO
: ADDRESS OF CONSTRUCTION:
33? 0
7- frc'4 (?? - SQUARE
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FOOTAGE:
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SEWER UTILITY
PROVIDER
WATER UTILITY
PROVIDER: C C «._
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VALUE) LUE) oc;D
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION! B BPW DOCKET? It/
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OR COUNTY WELL ANDlOR SEPTIC PERMIT # PPI1 A
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C DATE
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A
UMBER
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FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: TAX MAP PARCEL #:", < r?
I- L
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
NEW STRUCTURE
ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECKADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Early Release / Manufactured
Permit: YTrusses:
Lot Split: _Y N Sump Pump:
_Y /N
N
2--Z
PLUMBING CONTRACTOR ap] IG JA 77 2007
All/W CeAI? Plu d C
Plumber's Indiana State Lice se #:
Which plumbing codes will be applied to the construction:
( International Residential Code w/Indiana Amendments
l i Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
CRAWLSPACE -1) POST &_ BEAM--PIER
.46 BASEMENT (WALKOUT: /_N )
O SLAB V
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
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 I
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, reconstnmuon, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, a!1 applicable laws of the Scare of Indiana, and the -Zoning Ordinance of Carmel Indiana- I993" (Z.
289) and amendments, adopted urder authorityof I C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 f n. her certify inat only
kitchen, barb, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Ce care of
Om/u?y hasG?je ssu by the Department of Community Services, Carmel, Indixrn t.
f , /? / / Dm;_7) f (azc/ C - /?LANAE?/L S 2J jQJ ?
slgoatu of er or Audwr!zed Agent Print Date
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OFFICE USE ONLY:
1 1
Filing Fees: r
.
INSPECTIONS REQUI 60 Charged Re-
3 Lis
Base Inspections: .
Upper Foo i Lower Footin Under Slab Jr(? Reviews
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Cert. of Occupancy: •
1
Rough In eter Base inal Site 2 6 OQ
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P.R.I.F.: tona
ees
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Review pprov . of Community Services (Date)
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S:Pe . rts/?OLP RESIDENTIAL --'
Fee Received bY:
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