HomeMy WebLinkAbout07100050 Applicationrll ?OOSb
City of Carmel/Clay Township Permit #: D
` RESIDENTIAL IMPROVEMENT LO VATION PERMIT APPLICATION
1' we10p For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER jQ J ? '?? PHONE: 8+ FAX:
NAME.*
64
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RECORD: STREET ADDRESS: i0i4q A ?•}10c ??6 Cm:???? STATE. fki ZIP?32
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BEST METHOD OF CONTACT:
BUILDER'S EMAIL ADDRESS:
JJ PJ F15Het &5bC.C4LOgaL, 06T
PROPERTY NAME: PHONE:
OWNER
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STREET ADDRESS: 1 IOcTJ ApICIS Y/? QTY: `?1 /I n,A,?a,- STATE: W . ZI??
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LOCATION SE
CTION:
LOT ` SUBDIVISION NAME:
1106 U I E-oF ^t C"we L ZONING:
PROJECT
&
INFO: ADDRESS OF CONSTRUCTION:
I
SQUARE
FOOTAGE: `
SEWER LMLTTY
PROVIDER: / rye I t WATER U11
PROVIDER: ESTIMATED COST OF COI ?l
(EXCLUDING LAND VAW I_ -
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT S (IF APPLICABLE):
_
r T
FLOOD ZONE AREA DESIGNATION(S)
I TAX MAP PARCEL A Li u
V
FOR THIS PROPERTY: - 13y
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: CONTRA
LUMBING
O SINGLE FAMILY O NEW STRUCTURE L
'Dd125e1 LWM F3l0Cq'
O TOWN HOME ROOM ADDITION(S) Plumber's Indiana State License #:
O TWO FAMILY PORCH ADDITION(S)
'
# of units being O DECK ADDITION(S) V
t
constructed at this O REMODEL WhiFh plumbing codes will be applied to the onnsto ucdon:
J time:
LTG; RESIDENTIAL (For _ Basement Finish only
O ACCESSORY BUILDING International Residential Code w/Indiana Amendments
7 international
! Additions, Remodels, Etc) O DETACHED GARAGE n Uniform Plumbing Code w/Indiana Amendments
O ATTACHED GARAGE
PROJECT INFORMATION: O DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
N
Y Manufactured /
Trusses: Y N BEAM
PIER
P6 CRAWLSPACE ? POST &
_
Permit: _ Y N
P -
_
YN
Lot Split: _Y N Sump
ump: )
0 SLAB O BASEMENT (WALKOUT:
For Single Family and Tevo Family dwellings, additions, remodels, and/or arcessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the budding permit, and most be completed (Certificate of Occupancy issued) within i8 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. ,.,?nf Ll("{!Qe'?
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alte ?E_ r :tiytv.vr.a 'c aZge in,ttp seej land or structures
requested by this application Hill comply with. and conform m all aophca'nit la«pdo?t,rKAA aha"3n? the'?gtmgOtdinanch aCarmel Indtana -1993' (2-
289) and amendments, adopted under authority of LC 36-7 et seq General Assem ?t o??'.?,c5siateoFUndlana atrdall Ac s amendamry thereto. I further certify :ha[ only
kitchen, bath, and fie airs are connected t e sanitary snwr. I further cerwtfiat the construction svdl noc be used or-0 Arlneduntil a Certificate of
Occupant has inns by epaz nt Community Services, Carmel, Indiana y - ,r
Jn r??P?' /0-7
Slgnaturea er or Aath Agent Print Lp=? fir "' _,, [> :Lrr fah
OFFICE USE ONLY: --------
INSPECTIONS REQUIRED:
Lower Footing Under Slab
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
S:Penatts/FOrt ILP )MQDEN L -Renewed by-: Fee j Q ° Charged Re-
Revie(vedjApp_4\49; pt. of Community Services ' (Date)
SL>. . ? ? Reviews
Additional Fees
AL: 3,,--,)6
Date