HomeMy WebLinkAbout07090051 Application,•?``"? Permit# oo 1
°'--, City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
??xm>x>.? For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHO FAX.
OF
RECORD: BEET ADRT•IRtFF55'
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STATE'
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BUILDER'S EMAIL ADDRESS: l BEST METHOD OF CONTACT:
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PROPERTY NAME PHONE: FAX:
OWNER
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STREET ADDR S TE:
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: ZIP:
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LOCATION LOT SUBDIVISION NAME: SECTION:
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PROJECT ?
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INFO: ?(
ADDRESS OF CONMUCTION:i I
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4 TAGE:
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1
SEWERUTI
LITY
I ?
? WATER
ROVIDE
ER
N" I (EXCLUDING LAND VALUE)
PROVIDER:
I I /A 1
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET I
NUMBERS; TAC DATE(S); AND(OR COUNT' D/OR SEPTIC PERMIT w'S (IF APPLICAB l Jam- F ! 0
NE AREA DESI
PROPERTY:
Z39
TION '
( 1•C0 ?• })II
TAX MAP PARCEL u:
O SINGLE F
G TOWN HO , ??Q
TWO FAM
C-1 IL
# of units boy
constructed this/
time:
RESIDENTIAL(Fo
III??` Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y
Lot Split: Y
VIN'
N
r.
IMP OVEM T: pW PLUMBING CONTRACTOR: V J4 /?/y
N RUCTURE,,,?pr 4 - ,n
47
A
DDITION(S) a"'1 plum B er's Indiana State , tense
PORCH ADDITION(S)
DECKADDITION(S) (J - 0 S V 6 ,!
REMODEL Which plumbing codes will be applied to the constructs 6
_ Basement Finish only
ACCESSORY BUILDING lntemational Residential Code w/Indiana Amendments
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Manufactured
Trusses:
Sump Pump:
_Y
_Y _
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
D CRAWLSPACE O
For Single Family and Two Family dwellings, additions, remodels, and/or accessory stgtc_µg_*GVWP
davs of the date of issuance of the building permit, and must be completed (Certificate F ccuPaw
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675I?(
completing construe Pj (,?)Ct
I, the undersigned, agree that any corstmction, reconstruction, enlargement, relocation, o4W o..4.
requested by this application will comply with, and conform to, all applicable laws of the d,ji{a, a
289) and amendments, adopted under authority of LC. 36-7 et se;. General Assembly of the State of Indiana
lutchen, bath, and floor drains site connected to the sanitary sewer. I further certify that the construction
t1,-,o ancvhzs been issued b the Deuarnnent of Community Services, Canine elndiana.
OFFICE USE ONLY: ****x*#*********#**1**6
INSPECTIONS REQUI D: V l
Upper Footin Lower Footing nder Slal
oug In Meter Base Final Site
-PIER
within 180
e. Class I
nning and
{ trln}?c??`ia,'?u1gqe in the use cE landorstructures
?e "`a?? kxcvxance d: Carmel Irdiana -1993" (Z.
all cis amendatory thereto. 1 further ce-iFy that only
not be used or occupied until a Certificate of
Print ` /
r Fill g Fees:
Il ?7B e Inspections: ?s2. O TM ReveeRe-
5' Cert. of Occupancy: S. ,?IJ
P.R.I.F.: Addidonal Fees
TOTAL:-_ _zr 3-s?
Reviewed/Approved: Depf. of Community Services (Date)
S:Penni¢IFonnS/ILP RESIDENTIAL Free RESIDENTIAL FEE Received by:
Date