HomeMy WebLinkAbout07100196 Applicatione 1F(
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City of Carmel/Clay Township Permit #: 071 on?9?
RESIDENTIAL IMTROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:
E
ES PHONE:
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515 -a350Xa F
OF AL TE m
RECORD: STREET ADDRESS: STATEi ZIP:
n1 ER i 01 /? S CAt2..A-?lE 2
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
J ICE. SrtEPHEP`D PU.(..TE, COm E/-tAtL
PROPERTY NAME:
9 PHONE: FAX:
OWNER: !2 po
W
,
.
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT R: SUBDIVISION NAME'
E M 7 9 :
l°J
ATES ZONING:
?
& PROJECT ' -
INFO: ADDR
L fs o`?c5
? ° :1 60 1 ArJ nRC._E ? i CC 9 SQUARE FOOTAGE:
03?
SEWER UTILITY
PROVIDER: C ?
MEL WATER UTILITY ?.-., _
PROVIDER: STIMATED COST OF CONSTRUCTION: /
(IXCLUDING LAND VALUE] 1
- W LLL
NAME OF UTILITY SMAVATION CONTRACTOR; P
AND/OR COUNTY WELL
NUMBERS; TAC DATE(S) fC0 IySION Q B / 8
C5 (IF AP
t Y R SEPPYYfIC PERMIT Corn /v
Ce
'(jam IL Exc.
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C
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: fl '
II OCT 29 r0ul ...
LLLJJJ r Lilo
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COMrv?'i ,rt M -R_ f ns ?
I
PAA?l
TYPE OF CONSTRUCTION:
SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc.1
Early Release
Permit: Y/N
Lot Split: Y ?N
TYP ?qle IMPROVEMENT_?
(IY NEW STRUCTURE
O ROOM ADDITION(S)
? PORCH ADDITION(S)
;3 DECK ADDITION(S)
? REMODEL
_ Basement Finish --`•
? ACCESSORY BUIUr
O DETACHED GARA(
O ATTACHED GARAI
O DEMOLITION
Manufactured
Trusses: ?/Y N
_
Sump Pump: Y_N
/ jING'C TRA • ow:
lwffiryl `F Y50f y S
Plumbees Indiana State License
LP IODO I D i
Which plumbing codes will be applied to the construction:
L?lchIntemational Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
construction area)
(Check all that apply for the new
O CRAWLSPPACEE O POST & _ BEAM -PIER
O SLAB lIY BASEMENT(WALKOUT:_Y_N)
For Single Family and Two Family dwelffngs, additions, remodels, and/or accessorystructi res, 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 18 months of the issuance date. Class I
swcture petmi[s 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 cf imn or stmctntes
requested by this application will comply vrith, and conform to, all applicable laws of the State of Indiana, aid the -Zoning Ordinance of Carmel Indiana -1993" (2-
289) and amerdments, adopted under authority of I C. 367 et seq, General.Assembly of the State aandiaaa,,md all Acts amendatoryHereto. I further certirv that only
kitchen, bath, and floor drains are connected to tie sanitary sewe;_ 1 further certify that the construction will not be used or occupied until a Cerrificare o!
Ocrupancyhas been iss the De ent oy?ommunity Services, Carmel, Indiana.
******************s*s******.***********************************ts****x****.******
ONLY:
E RE ;11RED' Filing Fees: / ?7
Base Inspections: Charged Re-
loti Lower Footi Under Slab Reviews
Cert. of Occupancy: ? S
RevieweWApproved: Dept. of Community
S:PermltsrFo.%rlLP RESIDENTIAL