HomeMy WebLinkAbout07100213 Application•iJ?1
07100a 13
City of Carmel/Clay Township Permit #:AMMW
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME
01Mes Ll_ PHONE
1 - -2 FAX
-9601-03 91
RECORD:
STREET ADDRESS CITY STATE ZIP
?i S3 S Wt l Pr - GrWI.eA 0 3 3
BUILDER'S EMAIL ADDRESS
11
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1 BEST METHOD OF CONTACT:
4- T n _ t 5 &C
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PROPERTY I. NAME - PHONE F
OWNER: owes 7 - so _a - z4q -03 z
STREET ADDRESS CITY STATE ZIP
LOCATION LOT k SUBDIVISION NAME
Z3 ?
brt"k a+
JAL SECTION
b
rl ZONTNGi
c_ _ S-s
& PROJECT 0
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INFO: ADDRESS OF CONSTRUCTION UARE_?
FOOTAGE: (J ?
20 3 ,i cappg t e. l d I
SEWER UTILITY
R
ER
J -WATER UTILITY
PROVIDER: ESTIMATED COST OF COPSIRUCTID
(EXCLUDINO_LAN VALUE)
P
OVID
: _
NAME OF UTILITY EXCAV ON C CTOR; PLAN COMMISSION ( BZA / BPW DOCKET .
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND,IOR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
(d SINGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units:
? MULTI-FAMILY
# of Units:
0 RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
GX NEW STRUCTURE
? ROOM ADDITION(S)
D PORCH ADDITION(S)
D REMODEL
O ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
LS v Ll ? N
Plumber's Indiana State lilt?tt*,p612 4 2007 U?
CP91a s?36s
Which plumbing codes will be a BEd r? the to____ nstru?on:
? International Residential Code w/Indiana Amendmen
O Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
Early Release ? Manufactured FOUNDATION TYPE: (Check all that apply for the new
construction area)
Permit: Y _N Trusses: _Y ? N
O CRAWLSPACE O POST & BEAM
Lot Split: _Y X17 Sump Pump: t?Y _N O SLAB 9K BASEMENT
Does any part of the property lie within a special Flood designation area: _Y ? N WALKOUT: ?YN
For Single Family and Two Familydwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of iss ance of the building permit, and must be completed (Certificate of Occupanev issued) within 18 months of the
issuance date. Class I 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 chat any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform ro. all applicable laws of the State of Indiana, and the -Zoning Ordinance of Cannel
Indiana - 1993" (Z-289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
therein. 1 further certify that only kitchen, bath, and floor drains are connected to the samtary sewer. 1 further certify that the construction will not be
used or occupied until a Certificate of Occupancy- has been issued by the Department of Community Services, Carmel, Indiana.
•, 2 0
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Signature of Owner or Authorized Agent Print Y Date
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OFFICE USE ONLY:
66
Filing Fees:
INSPECTIONS REQUIRED- /?
J
V
n Charged Re-
Base Inspections: .
IF Footin Lower Footi Under Slab Reviews
Cert. of Occupancy:
ough In eter Base inal Site P.R.I.F.: Additional Fees
'N
TOTAL:
Revie dl proved: Community Services (Date)
S:Perm rm5IILP RESIDENTIAL F? Re eived tYi.