HomeMy WebLinkAbout07100026 ApplicationPermit #:
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATI PERMIT APPLICATION
?,xoinen ?' For Single Family, Tow e, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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BU
BUILDER
BU NA C9) ^ W 'i 2n Y1S?`i2e? 0MONE FAX.
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RECORD: STREET ADDRESS: QTY:
S -S-1. Sv 1-6 1U700 STATE:
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CAL) ILL ZIP:
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BUILDER'S EMAI ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY
OWNER: NAME: PHONE: FAX:
I 2T STOCVbAL-- SS K-_/0XG3
STREET ADDRESS: CITY: STATE:
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LOCATION LOT w: SUBDIVISION NAME: ?( SECf1O : ZONING:
& PROJECT 7 Zi c A YI r7 1
INFO: ADDRESS OF CONSTRUCTION:
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SQUARE
FOOTAGE:
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SEWER UTILITY WATER UTILITY
ES [MATED COST OF CONSTRUCTION:
PROVIDER: PROVIDER: (IXCLUDING LAND VALUE)
NAME OF UTILITY IXCAVATION CONTRACTOR; PLAN COMMISSION I BZA j 8PW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT a'S (IF APPLICABLE):
ROOD ZONE AREA DESIG TION(S)
FOR THIS PROPERTY, `I- X TAX MAP PARCEL 4:
TYE
F
CONSTRUCTION:
NGLE FAMILY
SI
Ci 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 :N
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR
O y1EW STRUCTURE ,Z-- r +, ?.::= ?: _. TUla17pPM
f?? OOMADDITION(S)" WumbeF`slndiana State-License #:
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DECK ADDITION(S) ra of Gti iq?. e1A t C. ti 4C=.
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`??t-p l>:rtar.,.. - ssa+=s'?-'
REMODEL iT.'.T C`t t=
, htch plu in ootts4h aeapplleA tb'clt)e construction:
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Basement Finish V,nl ?
O _
ACCESSORY BUILDiIiSI? ? .
OF t= incematio?ta? ?.=HPrsidential Code w/Indiana Amendments
O DETACHED GARAGE C- Uniform Plumbing Code w/Indiana Amendments
O ATTACHED GARAGE
O DEMOLITION OUNDATION TYPE: ( ck all that a I for the new
Manufactured construction area) Y K. b v S Call 1"t
Trusses: _Y V N O CRAWLS?PACCE ? POST & _ BEAM -PIER
Sump Pump: _Y O SLAB fV 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 1
SMature pemtits are subject to the General Administrative Rules of the State of Indiana (See E75 LAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that ary construction, reconscrucuon, enlargement, relocation, of alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform co, all anDlicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (7-
289) and amendments, adopted under authority of LC. 367 et seq, General Assembly of the State of Indiana, and all Acts amendatory there-m. I fu Cher certify that only
kitchen, bath, and floor crams are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
pancyhu been issued by the epaz nt of Community Services, Carmel, Indiana.
Cngl?At?1O?J_? 7
aonxn.o M owns nr AUth Dent Print Date
INSPECTIONS REQUIRED: ?U
Base Inspections:
Upper Footing Lower Footing Under Slab
Cert. of Occupancy: -A
P.R.I.F.:
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Fee ReceNed
OFFICE USE ONLY: *xxxx***xxx*********xx*x****x***xxx****x***xxxxxas:=: ?__{{
Filing Fees: )
k Charged Re-
Review's
Additional Fees
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