HomeMy WebLinkAbout07090123 Application/`}yC9P yr
°t?``` City of Carmel/Clay Township Permit: n70 I ally
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
dditions, Remodel ces
;;,,Clay„! For Single Family, Town Home, & Two Family: New Structures,,
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BUILDER
OF NAMe ., PHONE:
J?Q ?ehs sl i65 L'
3-066
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STATE' Fy
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SEN9
RECORD: Cm:
STRffT ADDRESS: 0
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BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: By k?L
PROPERTY
OWNER NAME: r P NE: F
Ot?IIJDc? ' -MC(yW VVEDDL.? 1-2-73-3962
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STREET ADDRESS: CITY: n STA :
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LOCATION
PROJECT LOT ` SUEDMSION NAME SECTION:
a 0 ?L lJt? ZONING:
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INFO: ADDRESS OF CONSTRUCTION:
G? V SK l /woe
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1 SQUARE
FOOTAGE: 2L/O
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SEWER UTILITY
PROVIDER: WATER UTILI TY
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
{EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION i BZA / SPIN DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDIDR SEPTIC PERMIT 4S (IF APPLICABLE):
FLOOD ZCNE AREA DESIGNATION(S) T.AX MAP PARCEL x:
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
D TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y _N
Lot Split: _Y _i,/ IJ
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
-Basement finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
X ATTACHED GARAGE
D DEMOLITION
Manufactured /
Trusses: _Y ? N
Sump Pump: _Y ?T_N
PLUMBING CONTRACT;
_ LT Al ec1,cl.Pt / cal
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
? International Residential Code w/Indiana Amendments
O Uniform Plumbing Code
?\o
for the new
Y N)
Put Single Family and Two Family dwellings. additions, remale6,and/ur accessury structures, tt dtalq?y I JINit ruction contnrnces within 180
days of[he dare of issuwce of the buildingpermit, andmusthe,amplOn, (Certificated cy t' n' I of the itnance cute ChcseI
structure permits are subject to the CoeneralAdmiintraw, Role, of the State of (Utf? tR?i_, parch cation time francs for beginning and
completing constnu:titi -I v
h the under' ignni,:n-nc that :uy tvnunsHUn, region=sacnnn, enlanemenc. rekxu[ion, taM m-- of a straetne. or any c} ange in the use o: land or structures
requested by this application will comply With. and conform to.ull appficaSle Imes of the Stale Of Indin and the'Zoring Orchmiace of Carmel Indiana - 1993' (Z
289) and amtmclrnents. adopted Linde- suthority Of I C. 36.7 er seq, General Assembly of the State of Imlianaranttflll•Actsamendamt? therein. I iur:her Certify that Only
kitchm.bsth, and floor drabs Lie cunnrctnl tome cnitary ewer. I further eersify chat the cunstr crier. will not be used orocanpied intila Crmfk,teof
(hcu1trmyh'as been issued by the Department of Communiry Services, Gmnel, Indian? /
signature of Owner ar Authorized Agent Print ?f Date
OFFICE USE ONLY: xxx****x*******x***x*+* *x x*x *xxxx*x!a*xxxxx***x :*x*xxxx*xx*x*x**xx*x
INSPECTIONS REQUIRED: ? Ill g es:io`-r ?O 3 ?7 6
e Inspeqtons: /! ? charged Re-
per FOOtin' Lower Footing Under Slab Reviews
Celt. of Occup racy:
Roug eter Final Site
P.R.LF.; Additional Fees
GYcx.LG) C?llt 1 / (? `? TOT : 39J 30
Reviev:ed/Apprta d: D t. of Comw,-jnity Services (Date) Q- C
S:PamrsfTOnusi aP RESID.Nr1Al c Received tiDa:e