HomeMy WebLinkAbout07070204 Applicationo c.
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City of Carmel/Clay Township
Permit #: 0-701 0 ?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF '
NA AE0A-T J? PHONE: fl FAX:
?9 / 9 -
RECORD: STREETADDRESS: CITY: STATE: ZIP:
BUILDER'S EMAIL ADDRESS: BEST METHOD OFCOATACT: g'y?v--rte
PROPERTY
OWNER: NAME. PHONE: /S-?` 7
4/4 /
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STREETAD RESs: CITY: U ?rATE: CZIP:;"??.
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LOCATION LOT SUBDIVISION NAME: SECTlO NING!/
&PROJECT 37 f l mdkigo 57L e_ ri
INFO:
ADDRESS OF CONSTRUCTION: l
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/ eZ R { M- O N E
- 99,4
(t T-- _ C R M E ?f t-•.t
FOOTAGE/ of J of
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUMON.
PROVIDER: PROVIDER: (EXCLUDING LAND VALUE) B
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
ROOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #:
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
? TOWN HOME
0 TWO FAMILY
# of units being
constructed at this
time:
.D RESIDENTIAL(For
Additions. Remodels. Etc)
PROJECT INFORMATION:
Early Release
Permit. _Y -&rN
Lot Split: _Y <i N
TYPE OF IMPROVEMENT:
NEW STRUCTURE
ROOM ADDMON(S)
? PORCH ADDITION(S)
? DECK ADDITION(S)
a/ REMODEL
_ Basement Finish only
0 ACCESSORY BUILDING
0 DETACHED GARAGE
0 ATTACHED GARAGE
? DEMOLITION
Manufactured
YKN
Trusses: _
Sump Pump: _Y?( -N
PLUMBING CONTRACTOR:
Plumber's Indiana State License #: /m p dR 0 f O/
l M AS0d7' i--Qaa1-
Which plumbing codes will be applied to the construction:
0 international Residential Code w/Indiana Amendments
9V Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
LM CRAWLSPACE ? POST & BEAM -PIER
O SLAB 0 BASEMENT(WALKOUT:_Y N)
7
z7
For Single Family and Two Family dwellings, additions, remodels, and/or accessoy structures, this permit is valid only if construction Wand., Lit( hin 180 ;t e, days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 lass
structure pernfts are subject to the General Administrative Rules of the State of Indiana (See 6, 412., e d
completing construction.
1, the undersigned, agree that any corsrruction, reconstruction, enlargement, relocation, or altemnor. nge in he use of lstructures
requested by this application will comply with, and confom'o, all applicable laws of the State eE Indianhe "Zoning Ordinance of Carmel Indiana -1993' (Z-
289) and amendments, adopted under authority of LC. 36.7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I furthercertify that ordy
kitchen, bath, and (loo: drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Oceupancyhas been issued by the Deparvnent of CommunityServices, Carmel, Indiana
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a.....«. Prim ?O D
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: ?? a V Charged Re-
Lower Footing Under Slab Reviews
Cert. of Occupancy:
t-- Site
ou?if? Meter Base
P.R.I.F.: / Additional Fees
'ma
C_ra ;_'A .! -7 - 31 - 07 I
Reviewed/App ved: Dept. of Community Services (Date)
S:Pennns/Fa ,Sn P RESIDENTLII Fee Received by:
Date