HomeMy WebLinkAbout07100043 Applicationo ca\
City of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. ,s,1
Rkplt ?o .? ens{t cf?t PHONE: FAX:
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317 9$3 00Yo 3?? aa3
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RECORD: STREET ADDRESS:
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92o E C CITY: STA
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PROPERTY
OWNER• NAME: PHONE: FAX:
s4e .t C?d Sic kan:e YaH ub,•n 317-SX6 ED
• STREET ADDRESS: Try: U ley'L to CG nC° Wi'f1 aikme
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370 Awe•- I)-; ,e al
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LOCATION LOi #. SUBDMSION NAME: CI t OF ON: WNING)Z -i v I., Z:
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& PROJECT ?: Il:. sera n i
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INFO: ADDRESS OFrC-OINSTRUCTION:
T ?70 tO Jew -D-:VC l vv G1 =? 7G03? FOOTAGE: D(7Y. ?1
SEWER l1TILIiY
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' WATER LITY II
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PROVIDER:
PROVIDER: n W
(ESTIMATED COST OF CONSTRUCTION:
IX DI 431N
PROVIDER: C
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NAME OF UTILITY IXCAVATION CONTRACTOR; PLAN COMMISSION J BZA / BPW DOCKET ,
NUMBERS; TAC GATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): ,
' FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
1) TYPE OF CONSTRUCTION:
D SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y .i N
Y7LN
TYPE OF IMPROVEMENT:
? NEW STRUCTURE
O ROOM ADDITION(S)
§K PORCH ADDITION(S)
? DECKAODn ION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
D ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _Y _K N
Sump Pump: _Y XN
PLUMBING CONTRACT' °r`
?e fS ??y ?lw.«{a?..S 3e.,?.c.cs. l..e
Plumber's Indi na State Li' se #:
100 S/ 14
which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAW LSPACE O POST & _ BEAM X PIER
D SLAB ? BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Familv dwellings, additions, remodels, andlor 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
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 corstmetion, regions . , e ?t, relocation, or alte^ation of a srmcture, or any change in the use of land or structures
requested by this applicatior. will comply witconform to, all applicab a ws o the State of Indiana, and the'Zoning Ordinance of Carmel Indiana -1993" (2-
289) and amend.•nencs, adopted under aucho i4- of LC, 36.7 et seq. General Asse bly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drams are eonnec if. to tie sanitary sewer. I further certdy that the construction will not be used or occupied until a Certificate of
Occupancy issued by the De artment of Community Services, Carm , Indiana.
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SpnaWred erwAuthorized Agegp f rint Date
OFFICE USE ONLY:****** ***a ***** ** *****x*****************r**•).*:*aTo:*********:x**xs***
Fees: l
SPECTIONS REQUIRED: Filing Base Inspections: 7 7 . # Charged Re-
Upper Footin Lower Footing Under Slab Reviews
Cert. of Occupancy: y <4Q
ough In MSite P.M F Additional Fees
..:
T L• y0.
Revie ved: ervices (Date)
S: Fo.msDr RESID Fee ReceNed W: Date
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