HomeMy WebLinkAbout07080230 Application°"•= - City ofCartnel/Clay Township Permit #: oil a80-?3v
RESIDENTIAL P"ROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME PHONE: R SED FOP,
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PROPERTY NA E. PHONE: FAX:
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OWNER: r
STREET ADDRESS: '7 7 S' CITY. STATE: ZIP:
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LOCATION LOT tl SUBDIVISION NAME: SECTION:
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? ZONING:
& PROJECT "-
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INFO: ADDRESS OF CONSTRUQION; Wt
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FOOTAG OTAGE:
PROV DER O 0=11 (EXCLUDDIINGCLAND VAL UCTION: ??C J
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKE
NUMBERS; TAC DATE(S); T
AND/OR COUNTY WELL AND/O0. SEPTIC PERMIT °'S (IF APPLICABLE):
FLOOD ZONE AREA DESI ON(S) TAX MAP PARCE
FOR THIS PROPERTY:
TYPE OF CONSTRVQT-ION:
V '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-ZN
Lot Split: _Y AZN
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TYPE OF IMPROVEMEN
Y/NEW STRUCTURE
t.I
0 ROOM ADDITION(S)
? PORCH ADDITION(S)
O DECKADDIfION(S)
O REMODEL
Basement Finish only
_
O CESSORY BUILDING
AC
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _%ZY _N
Sump Pump: -VZY _N
PLUMBING CONTRA
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PI s n lana State Lice #•
'?Knac?z5 LA
Wh P -d to the construction .w. II 1 Q"+?
rttemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
D CRAWLSPACE O POST & _ BEAM /PIER
O SLAB IBASEMENT(WALKOUT:_Y ? N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this petnit 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 IS months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 1-AC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, reconstruction, entargemer t, relocation, or alteration of a struceare, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana-1993' i Z,
289) and amendments, adopted under authority of LC. 36.7 et seq, General Assembly of tae State of Indiana, and all Acts amendatory thereto. 1 further certify :hat only
kitchen, ba-' . and floor d 'rs a 11ected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
upane been u v partment of Co unity Services, Carmel, Indiana. ? ("
Date
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OFFICE USE ONLY:
Filing Fees: ll?J
Base Inspections: A7 0 # Charged Re-
U0-10? t7L!!er 'oot
per F??otin _ Reviews
Cert. of Occupancy:
P.R.I.F.:
Fee
15W Additional Fees
by: