HomeMy WebLinkAbout07090046 ApplicationRv ps Gq\ Up
City of Carmel/Clay Township Permit:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
THOUHn.% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME' PHONE
J A,vnr !J 1 6 S : FAX:
561,13S.
RECORD: sraeET ADDRESS'
1q5 CM:
Z
A`j y Q / STA E: ZIP: 440.9
BUILDER'SEMAILADDRESS: ? EST METHOD OF CONTACT:
v,virle 5. n` e!5 Q d1AfA+B. tv.+ti e f
PROPERTY NAME: PHONE: FAX: %
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OWNER:
STREET ADDRESS: / CITY: zi ll
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74
QIOS ASS 1
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LOCATION
T LOT U: SUBDIVISION NAME:
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& PROJEC
INFO: ADDRESS OF COrvsrrcucrlQtJ;
1 -5 0(a5 ?A S I DOTAGE:
SEWER UTILITY WATER UTiLTfY
VIDER ESTIMATED COST OF CONSTRU ON:
(EXCLUDING LAND VALUE) !? OO G
PROVIDER: PRO
:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DAT E(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
) TAX MAP PARCEL s:
I
FOR THIS PROPERT Y: PP 0 7,
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
O SINGLE FAMILY G NEW STRUCTURE
O TOWN HOME ROOM ADDITION(S)
O TWO FAMILY 1 ? PORCH ADDITION(S)
rf of units being (? ?r DECK ADDITION4s)
constructed at this `REMODEL? /111 lle+
timei Basement Finish only
RESIDENTIAL (For O ACCESSORY BUILDING
Additions, Remodels, Etc.) O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
PROJECT INFORMATION:
Early Release /? Manufactured
Permit: Y?/ 1??,A1Y,Nj Trusses: Y _)(_N
Lot Split: Y _N Sump Pump: Y
PLUMBING C NTRACTO : ' LJ
Plumber's Indiana State License
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE 0 POST & _ BEAM -PIER
O SLAB O BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Familydwellings, additions, remodels, and/or accessory structures, this permit is,alid only if construction commences within 180
days of the date of issuance of the building permit, and most 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, reconstruction, enlargement, relocation, or aheradoo of a structure, or any change in the use o` 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" (2-
289) and amendmeats, adopted under authority of I.C. 36-1 et seq, Generai Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further terrify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu yhas been' u the Department of Community el, Indiana.
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sigay6l of Owner or Authorized Agent Print Data
)F6ZE USE ONLY:
F es:
p INSPECTIONS REQUI Filing
/ G (? a Charged Re-
Upper Footing Lower Footing der at ?aBase nspections: Reviews
rt . of Occupancy: J S"
Rough In Meter Base Final Site /
1. P.R.LF.: Additional Fees
\Revie proved: . of Community Services (Date)
L S:PermRs(FwaeW RE51MR77AL
Fee RPMr`eo LN: ?-'-