HomeMy WebLinkAbout07090124 Application... Permit #: ®I y
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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RECORD: BEET ADDRESS'
81 "II CITY: STATE: ZIP:
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BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY
OWNER: N-AIM-E. J
•doh?l uAAG i rA PHONE: FAX:
5-07 -8736 C-0 5-87 - /S 'V-?
STREET ADDRESS:
c ATE: ZIP:
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LOCATION LOT SUBDIVISION NAME: L ,? 1 C SECTION:
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& PROJECT 6
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INFO:
ADDRESS OF CONSTRUCTION: „ u
IT Y OF CARMEL,/ TAY T0VV :SHIP
FOOTAGE:
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SEWER UTILITY WATER UTILITY E51'IMA COST OF CONSTRUCT] N:
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PROVIDER: /' P- ^I PROVIDER: /' - rMe4 (EXCLUDING LAND VALUE) s"p OCO
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION J BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE).
FLOOD ZONE AREA DESIGNATION(S) ;/ TAX MAP PARCEL #:
FOR THIS PROPERTY: / X-I7-? ?-p2?p •
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TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
O SINGLE FAMILY
O NEW STRUCTURE 1 y?
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O TOWN HOME O ROOM ADDITION(S) Plumber's Indiana to License #:
O TWO FAMILY O PORCH ADDITION(S)
I ??l 2
# of units being 0 DECK ADDITION(S)
constructed at this 111
ytT REMODEL
e k Which plumbing codes will be applied to the construction:
time: _ Basement Finish only I
RESIDENTIAL (For O ACCESSORY BUILDING (X International Residential Code w/Indiana Amendments
Additions. Remodels. Etc.) ? DETACHED GARAGE ? Uniform Plumbing Code w/Indiana Amendments
ATTACHED GARAGE
PROTECT INFORMATION: 0 DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release Manufactured
Permit: Y N Trusses: _,X_Y _N ? CRAWLSPACE ? POST & BEAM -PIER
Lot Split _Y N Sump Pump: _Y N SLAB ? BASEMENT (WALKOUT:_Y N )
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 LAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
reouested by this application will comply wicn, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance o: Carmel lrciana -1993" (7-
289) and amendments, adopted under authority of LC. 36-7 et secl, General Assembly of the State of Indiana, and all Acts amendatory thereco. [further ce¢iFy char oay
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
Occupaacy m issued by epartment of CommunitySenices, Carmel, Indiana.
Slgna of Ownerer Authwa Agent Print Date
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: /7A o < Charged Re
Upper Footing L wet Footi Under Slab Reviews
Cert. of Occupancy: s5?
ough In Meter Base Final Site Additional Fees
R.I.F.:
Revi Approved: [. of Community Services (Date)
5:PeonWFo'msllLP R=SIDEN L Pa Ma a
Date RV,