HomeMy WebLinkAbout07100175 Application1
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City of Carmel/Clay Township Permit #: 09 OD 5
RESIDENTIAL IMTROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER +E
Svr
17u; ?b pvE Co+ sr PHONE:
31-1 -36cs .3o ? FAR:
31 -7 -Co4 3- 1eo2
OF .
RECORD: STREET ADDRESS:
581 kLuu,-c? 12\'t6 LA--' - CITY: STATE:
:013 ZIP:
eft, 6 3 3c-
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
-Tt-oet??F??tt?o?fEeS.C'V" 313o8(e
PROPERTY NAME.
4
?soo.?
?E?`
KH
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? PHONE:
311-s38-9zt( FAR:
r0e-'4"
OWNER •
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:
STREET ADDRESS: CITY: STATE: ZIP:
531 E. 12b Gd.rt«E? .-Z-11 'fGe3?
LOCATION LOT o: SUBDIVISION NAME:
A16 4A< ,,T c xF 140 5ECTIOW
33 -rwvN. 33 A--rG oY P ZON(N
& PROJECT
INFO: ADDRESS OF CONSTRUCTION:
S3/I /2/0-m` $4. &W-P-'-e-
9-r Sf&D,3j SQUARE
FOOTAGE: Z,39
SEWER UTIUTY
PROVIDER: A. _ .'.
?
0 '_ WATER U-FILITY
PROVIDER: L ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 22S CIg7'?
EXCAVVATIION CONFRACTOR; PLAN COMMISSION! BZA! BRN DOCKET
NAME OF LMLTTY - '
NUMBERS; TAC DATE(S); AND,IOR COUNTY WELL ANDIOR SEPTIC PERMIT A'S (IF APPLICABLE): ?.f L, UTt Z-e rzd M'I- E EW?S'1e"Cs
FLOOD ZONE AREA DESIGNATION(S) TAR MAP PARCEL Y: D I?
lS tvJ
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
G SINGLE FAMILY
? TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
?G RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y V
Lot Split Y ON
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
,g ROOM ADDITION(S)
u PORCH ADDITION(S)
? DECK ADDITION(S)
O REMODEL
Basement Finish only
_
O CCESSORY BUILDING
A
O DETACHED GARAGE
Vr ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: Y ?N
Sump Pump: Y N
For Single Family and Two Family dwellings, additions, remodels, and/or
days of the date of issuance of the building permit, and must be corn ell
structure permits are subject to the General Administrative Rules
I, the undersigned, agree that any cons=ction, ter
requested by this application will comply with, and
289) and amendments, adopted under authority of I
kitchen, bath, and fgp_td?'ins a,conrected to the
Agent
PLUMBING CONTRACTOR: OCT 2 6 2007 U
Plumber's Indiana State Lice
f oI,s1Z
Which plumbing codes will be applied to the construction:
Y" International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
construction area)
(Check all that apply for the new
CRAWLSPACE O POST& BEAMM- PIER
SLAB )6 BASEMENT (VfALKOUT:-Ne!Y/_N )
)is valid only if construction commences within 180
fed) within 18 months of the issuance date. Class I
regarding expiration time frames for beginning and
If of a st-uctcre, or any change m the use of land or structures
diana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
Indiana, and all Acts amendatory thereto. I further certify that only
ruction will not be used or occupied until a Certifcite of
Z<--o-7
Date
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: t
Charged Re
Upper Footin Lower Footing Under Slab _ Reviews
Cert. of Occupancy: S5'
Rou h In M Base Final Site
36o?Tarrr?
Review /Appr Dept, of Community Services (Date)
s:Pe . W F-o m%(" RESIDENrIAL
1 r?X-
P.R.I.F.: Additional Fees