HomeMy WebLinkAbout07080250 Applicationov. raey?, Permit #:0
70W01 50
City of Carmel/Clay Township
RESIDENTIAL 1WROVEMENT LOCATION PERMIT APPLICATION
aouN?./ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE : FAX:
OF 3
RECORD' STREET ADDRESS: CITY:
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S l_ STATE: ZIP:
O1
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BUIlDER'S EMAIL ADDRESS: m?tanc 3 VIII $l! !BC.U I'dI16f1S
BEST M @6? Cf??tT:?r
/ st&ttl. and al.-?t
PHONE
NAME : EP I OF CCflh ixa )! 1`t = 1`; i '
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PROPERTY , I
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OWNER lal
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STREET ADDRESS: CITY: STATENNDL AIN {ZIP:
T Z
LOCATION - LOT Y. SUBDIVISION NAME: SECTION:
I
- ZONING:
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ONF
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PROJECT L4
'EL
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INFO: ADDRESS OF CONSTRUCTION: {J' _ SQUARE
FOOTAGE:
lO ERR (
SEWER UfIITT'! ^ WATER L1TY ESTIMATED COST OF CONSTRUCRON: nn/?1
UV
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE) V
NAME OF UTILITY TION NTRALTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DA ); AND/ R COUNTY WELL AND)OR SEPTIC PERMIT Y'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PAR
1.,
FOR THIS PROPERTY:
i
TYPE OF CONSTRUCTION:
r9" SINGLE FAMILY
G TOWN HOME
D TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECrINFORMATION:
Early Release
Permit:
Lot Split:
_Y 1 1/NN
Y _krv
TYPE OF IMPROVEMENT:
D NEW STRUCTURE
O ROOM ADDITION(S)
[X?" PORCH ADDIFION(S)
13 DECKADDITION(S)
0 REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _YV /N
Sump Pump; Y _N
PLUMBING CONTRA MR: L I,
Plumber's Indiana Sta _ 91a
Which plumbing codes will be applied to the construction:
D International Residential Code w/Indiana Amendments
D Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST & _ BEAM -PIER
SLAB O BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 160
days of the daft of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class 1
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.
I, the undersigned, agree that any construction, reconstruction, 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, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
289) and amendments, adapted under authority of I.C. 364 et seq, General Assembly of the State of Indiana and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are corrected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of
Ocev g'h bpe-nVtuedbythcDepa cot of Community Semis s, Carmel, Indiana
Ma tune or Owner or Authanze.M Agent Pont Date
;IFFICE USE ONLY:
Filing Fees: *+z
INSPECTIONS REQUIRED:
Base Ins ections• / l j Q # Charged Re-
?O?•
pper Footing Lower Footing Under Slab
Meter Base al Si
k:?I?
R ed/Approvp : ept. of Community Services (Date)
5:M WFoffwW RESIDENTIAL
F Reviews
Cert. of Occupancy: .5-5--s-0
P.R.I.F.: Additional Fees
? TOT L: >?-3 ?°7t a G'
Fee
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