HomeMy WebLinkAbout07090147 ApplicationPermit #:?+
City of Carmel/Clay Township '
RESIDENTIAL LMPROVEMENT LOCATION PERMIT APPLICATION
t!?menPi For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. PHONE: FAX:
OF Wee, ?6mrs 3 - (3!7).3q7- 73W
RECORD: STREET ADDRESS: CITY:
m STATE: ZIP:
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BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY NAME: PHONE: FAX:
'
(317) 3V-7300 7-73
OWNER
:
STREET ADDRESS: CITY:
' STATE: ZIP:
S
1516SO NiVE S Ea T I
LOCATION LOT SUBDIVISION NAME: SECTION: ZONING:
S
NO
:
19 k 3
PROJECT hKF-S
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1
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INFO: ADDRESS OF CONSTRUCTION: FOOTAGE
Arq-T E o0R P I N
a .
173
SEWER UTILFFY WATER UTILITY ESTIMATED COST OF CONST UCTION:
'
PROVIDER:!['. '` PROVIDER: R (EXCLUDING LAND VALUE
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
ICABLE
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V
NUMBERS; TAC DATE(S S (IF A
L
):
S
); AND/OR COUNTY WELL ANDIR C.PERMR #
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Co C l
FO`.,
FLOOD ZONE AREA DESIGNATION(S) UbJ80
H COO i
r to . ,
R THIS PROPERTY
F TAX MAP PARCEL #: ,)???
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:
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TYPE OF CONSTRUCTION:
? SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
/ time:
l/ RESIDENTIAL(For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y V/Iy
_Y _2N
TYPE Yd? .lo
l
D al
C
NEW STv,J?lli17;
D ROOM ADD
D
O
PORCH ADDIT30CL,y?Y
RN
iGECK ADDITIOR
;'
,
Vq
REM
QEfEL
,
Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
D ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: /?Y _N
Sump Pump: /Y N
License #:
W?h/rcp pluming codes will be applied to the construction:
rlJ' 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 CRAWLSPACCE ? POST & _ BEAM PIER
/
N )
O SLAB Q BASEMENT (WALKOUT:
For Single Familv and Two Family dwellings, additions, remodels, and/or accessoy structures, this permit is Valid only if construction commences within 180
da)5 of the date of issuance of the building permit, and must 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 IAC 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 confom to, all applicable laws of the State of Indiana, and the "Zoning Or6inance of Carmel Indiana - 7993" (Z-
26) and anendments, adapted under authority of I.C. 36-7 et see,, Gencral.Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and Boo= drains are connected to the sanitary sewn. 1 furthercertify that the construction will not be used or occupied until a Certrl"rateof
%upaneyhas been issued by the Department of Cormunity Services, Carmel, Indiana
,. r. t . t .'
signature of owner or
Loki A 6tRDson1G-NcffiJ; IE a$
Print Date
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INSPECTIONS REQUIRED:
Filing Fees:
Base Inspections:
Rao Rnal Site
Reviewed/Approved: Dept, of Community Services (Date)
S:Rwnni%1Forms/RP RFRDVTTIt?
Cert. of Occupancy:
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S"5SO
# Charged Re-
Reviews
P.R.I.F.: Additional Fees