HomeMy WebLinkAbout07080169 ApplicationCity of Carmel/Clay Township
RESIDENTIAL IMPROV]
.,A?iox*-i' I For Single Famil Liirn I lente & T nJ
Permit 110
QT APPLICATION
els, & Accessory Structures
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BEET ADDRESS:
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BEST METHOD OF CONTACT:
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PROPER NAME: S "e7L- ' c"WP'P- PHONE: ?1 2 Sg-7 -73 CK-FAX:
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OWNER: S' >At?- Sl<ANNA?
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STREET ADDRESS: 111 {0 (.i S PLAAf A71 bA/c1TY: /a Q,t,t E 4- STATE: JN ZIP: 7{?
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LOCATION LOT k: SUBDIVISION NAME c 77i RS OI ?? 1111N: TXW
6 l 5 I `ekCK ZONING:
PROJECT
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INFO: ADDRESS OF CONSTRUCTION: LIV
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MFL /A/ FOOTA
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SEWER UTILITY
PROVIDER: G ?tR ?' L WATER UTILITY ,t?
PROVIDER: ?jt lem e L- ESTIMATED COST OF CONSTRUCTION: m
(EXCLUDING LAND VALUE) p f !'"JW ,X71
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION i BZA / BPW DOCKET / AA
IF APPLICABLE):
IT #'S
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NUMBERS; TAC DATE(S); ANDiOR COUNTY WELL ANDiOR SEPTIC PERM
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: N/A- TAX MAP PARCEL #.
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TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: /3 (G 0 LILT
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? SINGLE FAMILY ? NEW STRUCTURE
? TOWN HOME ? ROOM ADDITION(S) Plumber's Indiana State License #:
O TWO FAMILY ? PORCH ADDITION(S)
# of units being ? DECK ADDITION(S) T1?
constructed at this RE EL
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Which plumbing codes will be
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time:
RESIDENTIAL (For O on
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V Basement F
ACCESSORY BUILDING ;ST Intemational Residen ode Indiana Amen is
Additions, Remodels, Etc.) O DETACHED GARAGE O Uniform Plumbing Cod n
?4nqnmts
O ATTACHED GARAGE H
PROJECT INFORMATION: O DEMOLITION
d FOUNDATION TYPE: (
construction area) et9t all that apply for the ne
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Early Release Manufacture y
Permit: _Y _IN Trusses: _Y _N
Y L/N
P O CRAWLSPACE OST & _ BEAM PIER
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OUT
Lot Split: _Y N Sump ump: _ O SLAB 5J BASE :_
MENT (WALK
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this perm itis valid only if construction commences within 180
days of the daze of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within is months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 TAC 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 aoalication will comply with, and conform to, all applicable laws of the State of Indiana, and the'Zoning OnImance of Camel Indiana-1993" (7--
266) and amendments, adopted under autho:iry of LC. 367 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further ce:dfy that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I furthercertify that the construction will not be used or occupied until a Certlficateof
Occupanc has en issued by the De attment of Community Services, Carmel, Indiana.
Any-w4g, a z ro/
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees:
??? CQ #
Base Inspections: Charged Re-
Reviews
Upper Footing Lower Footing Under Slab
ough I Meter Base inal Sib
Review Approved: . of Community Services (Date)
S:Perm ., slit REST AL
Cert. of Occupancy: ??; ? ;2
P.R.I.F.: Additional Fees