HomeMy WebLinkAbout07100155 ApplicationPermit #: La W5
6 7 City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
,,xoLcpn'i•, For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME.
Q014'aLes Cc -I TQw or( PHONE:
3)9 6110 -qCd 614 FAX:
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RECORD: STREET ADDRESS:
TE'
CITY: STA
19
ZIP: b `1 -6
BUILDER'S EMAIL ADDRES : BEST METHOD OF CONTACT:
E
/VG C - 6
PROPERTY
OWNER: NAM '
SO C' /{ To /J XE PHONE:
-$N -0616 FAX:
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STREET ADDRESS: CITY: Sr ZIP:
D'
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LOCATION LOT R: ?pyZ susorvlsloN NAME: J
I ??u`?? E O?:^? [ -ZONI yA
PROJECT
?.,,?,:;?mprar r ...•??Ur ,
G"8
INFO: ADDRESS OF CONSTRUCTION: l
SEWER LITIL
PROVIDER: WATER
PROVIDER: ESTI , •O
(EXC LAIJD;VALLIE); ' - ... ?
_i '?
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA! BPW DOCKET l ?jU• 1 L6
) J LI
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT x'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATI N(S) TAX MAP PARCEL
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOIf '
O SINGLE FAMILY ..a O NEW STRUCTURE XpnworfL y A 6tri F?
O TOWN HOME NYC lid- ROOM ADDITION(S) Plumber's Indi?State License #,•J
? TWO FAMILY l?Q?y Or O PORCH ADDITION(S)
# of units being ?.?i?T] D DECK ADDITION(S) y -? ?. w ! 1l I`'
Constructed at this 9' REMODEL which plumbing codes will be applied to the construction:
time: _ Basement Finish only
RESIDENTIAL (For ? ACCESSORY BUILDING O International Residential Code w/Indiana Amendments
Additions, Remodels. E DETACHED GARAGE O Uniform Plumbing Code w/Indiana Amendments
ATTACHED GARAGE
PROJECT INFORMATION: D' DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
Early Release Manufactured vz neon area)
Permit: _Y _N Trusses: _Y-{?J/ ' Jp O CRAW A D POST &_ BEAM -PIER
Lot Split: _Y l?tJ Sump Pump: ( BASEMiNf (WALKOUT:_1,/Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessorysuvctu S, this permit is %abd 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.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land orstructures
requested be this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (2-
2391 and amendments, adopted under authority of I C. 35-7 et se?q, 1 Assembly of the State of Indiana, and a]! Acts amendamry thereto. I funher cerdfy that only
kitchen, bath, and floor drains are connected to the sanitary s er. f furl er certify that the construction will not be used or occupied until a Cernficate of
Ocwpancyhas been issued by the Department of Co niry Servic Carmel, Indiana.
r? /o co
15 a .. n' S Date' I
OFFICE USE ONLY:****************
INSPECTIONS REQUIRE
Upper Footi ower footing Under Slal
Rough In Meter Be Final Site
7
RevievC5P,pGroved:epF.V Community Services
S:P.,. WFarms171P RESIDENTIAL
Filing Fees:
Base Inspections: ,3 d 0(J # Charged Re
Reviews
Cert. of Occupancy: SS?O
Additional Fees