HomeMy WebLinkAbout07100052 ApplicationPermit: )DC)A
City of Carmel /Clay Township
RESIDENTIAL MPROVEMENT LOCATION PERAUT APPLICATION
'.!wguya.%" For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME: PHONE: FAX:
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RECORD: STREET ADDRESS CITY: STATE: ZlP:
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BUILDER'S AIL ADDRESS: v BEST METHOD OF CONTACT:
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PROPERTY
WNER -
NEE' PHONE: FAX:
S ME RELEASED FOR CONSTRUCTION
:
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U ] omp lance wt asq ulations ZIP:
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STREET ADDRESS:
of
tate anc Local Codes.
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LOCATION
N NA' N:
LOT#:'QLl susorvlslo
MED? rIf OFCARMEL/ IoYTOWN
IN*
HIPGS'
PROJECT
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INFO: ADDRESS OF CONSTRUCTION: INUIAN/A
.r3 (''? J r I- (? 1-Pt. J FjA fOCSv j SQUARE
FOOTAGE:
SEWER UTILITY l
PROVIDER: `f+A ? fvL WATER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRU ON'
(EXCLUDING LAND VALUE) ?D Q d p
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION; BZA / BPW DOCKET 4-1 O(G O O)
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): / Is T( ",j ^
FLOOD ZONE AREA DESIGNATION(S) Q C)G0 ' TAX MAP PARCEL #: D 97
LLSS
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y ?N
Lot Split: Y I""N
TYPE OF IMPROVEMENT:
NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
0 DETACHED GARAGE
r-, ATTACHED GARAGE
0 DEMOLrrION
Manufactured
Trusses: _Y N
Sump Pump: _i,14?N
PLUMBING CONTRACTOR: I I I I OC T- 8 2007 U
A-rr = c L >? ($ b, 9
Plumbers Indiana State Licens rf.
Which lumbing codes will be applied to the construction:
emational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
!, 2-onCRAWLSPACEE O POST & _ BEAM _PIER
2 -"SLAB "B EMENT (WALKOUT:_Y->? _N )
2_
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days 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 [AC 12) regarding expiration time frames for beginning and
completing construction.
I. the undersigned, agree that any construcrion, reconstruction, enlargement, relocation, or alteration of a structure, or any change it. the use of land or structures
requested by this application wili comply with, and conforn: to, all apptahle laws of the State of Indiana, and the -Zoning Ordinance of Carmel Indiana -1993' (2-
239)and amendments, adoptedunder authority of LC. 36.7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto, I further certify that only
kitchen, bath nd 7oordrains ar caaected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupan bceaissue b e Department of Community Services, Carmel, Indiana. Z
signature of owner or Authorized Agent Print Date
OFFICE USE ONLY:x*xxxxx****xxx***x*x*xxxx***xx**xxxx**xx*****x****? *x?*xxx**xxxxxxxxxx*x*****
INSPECTIONS REQUIRED: Filing Fees:
?O t Charged Re-
Base Inspections: ? P -;;.7
ppe? Footin ower FootiTTg Under Slab _ Reviews
Cert. of Occupancy:
l eter Final Site -6 o
P.R.LF.; V (/l/ Additional Fees
T AL: 7ZL
?ved: Dept. 0L2 unity Services (Date)
RESIDEN L / Fee Received Date