HomeMy WebLinkAbout07100084 ApplicationPermit #: l _00QS?l
C: City of Carmel/Clay Township
RESIDENTIAL IMI'ROVEMENT LOCATION PERMIT APPLICATION
.?xoiAp?:•% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME: PHONE: FAX:
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RECORD: STREET ADDRESS: CRY: STATE: ZIP:
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BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
PROPERTY "AmE PHONE: EA%:
n, -34 5 3('1 `W
- 34-11
OWNER: ooy ig
STATE:
STqET _ADDR V ad CITY: Ct?7 ? _
b??lq 0 04 k . ZIP:
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LOCATION LOT SUBD ION NAME: SECTION: ZONING:
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&PROJECT ?
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INFO: ADDRESS OF CONSTRUCTION: FOOTAGE.
a
SEWER UTILITY
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flf
ER ? WATER UTILFTY
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CONSTRUCTION:
E=SnMATED OF
(EXCLUDING
CLAND VALUE)
.
PROVID
: Z (?,
,
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANWOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL '
FOR THIS PROPERTY: '
TYPE OF CONSTRUCTION:
SINGLE FAMILY FOR
le
O TOW
tA„ E
O Two Y t ,? GompGanc
# of u!6 beIhg..atP and `I
constructed at tf)is OMviu
bme• -r nr G
O RESID ' L.(F.or• A Pa,,1E.t.
PROJECT INFORMATION:
PLUMBING CONTRA I'
Plumbers Indiana State icenseo . r U
By
T T' 'senhiht'tinish only
'.- ACCESSORY BUILDING
idi DETACHED GARAGE
C. ATTACHED GARAGE
DEMOLITION
Early Release Manufactured
Permit: -Y _N Trusses:
Lot Split:
,k:-Y N
Y N
Sump Pump:
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
C?JIICRAWLSPACE O POST & -BEAM -PIER
O SLAB /` BASEMENT (WALKOUf:_Y_X?N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessorystructures, 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 IS months of the issuance date. Class
structure perndts 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.
I, the undersigned, agree that any construction, recorstruction, enlargement, relocation, or alteration of a structure, or any change ii the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (
269) and amendmen's, adopted under authonr). of I.C. 36.7 et seq, General Assembly of :he State of Indiana, and all Acts amendatary thereto. 1 further certify that only
Idtchen, bath, and -Door drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificare of
Occu cvhas be en issued b the Department of Co'mmuoity Services, Carmel, Indiana.
)- ??Jo L,; Fa
5[_ tureatowneror Authorized Agent J I_ V /V Print
OFFICE USE ONLY:********** ****
INSPECTIONS REQUIRED:
Upper Footing
'T ?,/Fihng Fees:
Lower Footing Under Slab
Rough In Meter Base
c
Final Site
IM V(AMJ)Nr%lIx T& S Aao9
Reviewed/Ap oved: Dept. of Community Services (Date)
S:. a WFcnnr!]LP RESOENT]i
Base Inspections:
Cert. of Occupancy:
/3a-DO
a Charged Re-
Reviews
n o r c . Additional Fees