HomeMy WebLinkAbout07090065 Application`' o'4R?
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City of Carmel/Clay Township
Permit #:V-7 (7-1 1 ? &
RESIDENTIAL UVIPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME' PHO E:
(3
317- 7300 FAX;
(317 3y`J 73 S
OF R 5 5 1
RECORD: STREET ADDRESS: QTY:
' STATE' ZIP'
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s r c Iv) bAiVE siA;T aoo jAI4
11Alb APoL5 TA
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
Ib; s NG@ R s.C
PROPERTY NAME: PHONE:
'7
3 FAX:
3i7? 3N7-73rd
OWNER: bpees AomeS Ii ,
3 -
STREET ADDRESS: Cm: STATE : ZIP:
Co bRIVE S T a IN I a7g
LOCATION LOT SUBDIVISION NAME: SECTION:
3 ZONING:
5
& PROJECT O JAkf5ihE A 5 AT 5
INFO:
`
ADDRESS OF CONSTRUCTION: SQUARE
FOOTAGE:
0V5 HEATHERMDOR PAR R
W6 N-itz1h 7Y 7
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CON UCTION:
PROVIDER: C A I N SH PROVIDER: CAR (EXCLUDING LAND VALUE)a 0DO. 00
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA ( BPW DOCKET i
NUMBERS; TAC DATE(S); AND,/OR COUNTY WELL AND/OR SEPTIC PERMIT s5 (IF APPLICABLE): T b ' C
IJ 1 N I-
FLOOD ZONE AREA DESIGNATION(S)
I
TAX MAP PARCEL #:
1 u
? 1
9
FOR THIS PROPERTY: 111 1
TYPE FCONSTRUCTION:
SINGLE FAMILY
G TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels. Etc)
PROJECT INFORMATION:
Early Release
Permit: _Y fN
Lot Split: _Y 7N
TYPE OF IMPROVEMENT:
NEW STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
? ZDECK ADDITION(S)
O REM
ODEL
,
asement Finish only
B
? ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses:
Sump Pump:
PLUMBING CONTRACTOR: UU
PAUI . SMIThI a
Plumber's Indiana State Licens
!0177'7
whit plumbing codes will be applied to the construction:
International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Chec( all that apply for the new
construction area)
/Y N CD
XY -N O
? POSAW4 BEAM
n •..
For Single Fundy and Two Family dwellings, additions, remodels, and/or accessor3' s ?$,,T??.},rM?? d o ly(tFp t ences within 780
days of the date of issuance of the building permit, and must be completed (Certif "§ft)1?a1 tin ?gPSa date. Class I
structure permits are subject to the General Administrative Rules of the State of Ind a ee 6 awt i a o r beginning and
completing construction. ^? C L (?s
I, the undersigned, agree that any construction, raoasruction, enlargement, relocation, orra( i n sir - r e in the use of land or structures
ceauested 6Y' _us aPlicatien wrill comply with, and conform to, all applicable laws of the Sdhe((?f,[µt ?jttb`ttie{jtyp ?ance of Carmel Indpiana-1993" (Z-
"289) and amendments, adopted under authority o,'I.C. 36-7 et wq, Gmeri Assembly of th6} diana, and all endatory thereto. 1 further certify 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
Oc pancvhas been issued by the Dep/Ia++rtment of community Services, Carmel, Indiana
&nT(( {'?nllZvamn-FIQ DiMOi Lop, A BI RD5war-NEA)I Ie II D
e--,N n... _•,, e••x,.,rireA m.,tk Priht Date
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees:
Upper Footing Lower Footing Under Slab Base Inspections:
--i._ Cert. of Occupancy:
Rough In Meter Base Final Site
RI F,,,
Reviewed/App loved: Dept. of Community Services (Date)
S: a tOFO=%91P RESIDENTIAL Fee Receiv
Re-
f 5-. 670 _ Charged Re-
Reviews
J75? SU
Zed bv:
Addioonai Fees
Oa
Date