HomeMy WebLinkAbout07100163 ApplicationPermit
_ City of Carmel/Clay Towruhip
RESIDENTIAL IMPROVEMENT LOCATI PERMIT APPLICATION
?rxola!!a For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME' PHONE:
41
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of ?l 8lf FAX:
,?? -LAFY-/700
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RECORD: STREET ADDRESS: CITY: STATE:
/S !d 70o G? I-44no,-,- 1 ZIP:
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BUILDER'S EMAIL ADDRES : / BEST METHOD OF COM1ITACT: (•?./ yp
S,-07f 4Y. re?X h oc , Ctoh..- 7G - -
PROPERTY
OWNER: NAME: PHONE:
/R15a? 3i7j5ffl FAX:
STREET ADDRESS: CITY: STATE:
3/ 99 ZIP:
LOCATION
& PROJECT LOT x: SUED
lq-' ISICN NAME: , SECTION:
roS fek- 61-oyie- ZONING: I
INFO: ADDRESS OF CONSTRUCTION.
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9 ,>1el ?'ti y?o
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SOOTAAG
F GE. x20
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SEWER UnLfTY WATER UTILITY
ROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) t0
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPVI DOCKET n Ll I?
Q Ll L
C
'
S (IF APPLICABLE):
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # J
FLOOD ZONE AREA DESIGNATION(S) V TAX MAP PARCEL OCT 2 5 2007
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
)_4 SINGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y
Lot Split: _Y N
For Single Family and Two Family t
days of the date of issuance of the
structure permits are subject to d1i
TYPE OF IMPROVEMENT: PLUMBING CONTRACT
O NEW STRUCTURE
O ROOM ADDITION(S) Plumbers Indiana State License #:
>it PORCH ADDITION(S)
O DECK ADDITION(S)
'O REMODEL Which plumbing codes will be applied tD the construction:
-Basement only
O ACCESSORY _ G O International Residential Code w/Indiana Amendments
? DETACHED !G?'?,`p D Uniform Plumbing Code w/Indiana Amendments
r, ATTACH , GE ,ZISA .
? DEMO , FOUNDATION TYPE: (Check all that apply for the new
?/tea ??,• construction area)
Truss O CRAWLSPACE O POST&_BEAM PIER
av'aa? '
N - O SLAB O BASEMENT (WALKOUT:_Y_N )
1, the undersigned, agree that any construct.
requested by :.his application will comply w"
289) and amendments, adopted ender authin
kitchen, bath, and floor d.ain_ are cor_nected
occupancyhas been issued by the Departr
or accessory structures, this permit is valid only if construction commences within 180
?}ttt Wtof erfd (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
apt Stat e of Indiana (See 6i 5 W C 12) regarding expiration time frames for beginning and
St, completing construction.
j ion,enlargement, relocation,oralteration ora structure,orany change in the useof land or structures
cWto= to, all apphcable laws of the State of Indiana, and the 'Zoning Ordinance of Camel Indiana-1993' (Z-
:tc. 3&7 er seq, General Assembly of :he State of Indiana, and all Acts amendatory thereto. I further certify that only
! samrarv server. I further certify that the construction will not be used or occupied until a Cerdacate of
of Community Services, Carmel, Indiana. /
Slb//??nyf4/ ,17 a 7
Print Date
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OFFICE USE ONLY:
C/
PECTIONS REQUIRED: Filing Fees:
Charged Base Inspections: it Charged Re-
Upper Footing Lower Footing Under Slab ??ll Reviews
_ Cert. of Occupancy: YS >?
I?o?gh In Meter Base Final D D I F • Additional Fees
S;P Its/Fa ,OUI RES;oRm'17AL