HomeMy WebLinkAbout07100198 Application: /1 C01
City of Carmel/Clay Township Permit #RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
ap For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. - L/ PHONE: C - FAX:
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RECORD: MEET ARgpRESS:
' cm: STATE: ZIP:
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BUI ER'5 EMAIL DRESS: /
1 S . BEST METHOD OF CONTACT:
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PROPERTY NAME: PHONE: FAX r?
Y
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OWNER f^ U
:
STREET ADDRESS: CRY: ST ) I ZIP: 1
290i
LOCATION LOT #: / SUBDIVISION NAMZ
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d SECTION: , ONING:
PROJECT
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INFO: ADDRESS OF CONSTRUCTION: L
L ya V 1 T t G/< /
LN FOOTAGE: j j} Y
SEWER UTILITY p y-,
PROVIDER: CT/ - (a) 6) WATER UTILITY
PROVIDER: 4? A.y? ,C ESTIMATED C05T OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 2 V tl O
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET - ,
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMI T #S (IF APPLICABLE): L l {'t S >L
FLOOD ZONE AREA DESIGNATION(S) 07' 001q-7 TAX MAP PARCEL #:
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
C3-INGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Easy Release
Permit: Y N
TYPE OF IMPROVEMENT:
C3--AEW STRUCTURE
O ROOM ADDITION(S)
? PORCH ADDITION(S)
CJ DECKADDITION(S)
? REMODEL
_ Basement Finish only
ACCESSORY BUILDING
O DETACHED GARAGE
?- ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses:
Lot Split: Y _N Sump Pump:
,i
For Single Family and Twro Family dwellings, additions'(!
days of the date of issuance of the building permit, and n
structure permits are subject to the General Adrninistraril
I, the undersigned, agree that any construction, reconstmction, ent e
requested by this application },till comply, with, and conform w, all app
289) and amendments, adopted under authority of I.C. 36-7 et seq, Genes
kitchen, bath, and floor drains are connected to the sanitary sewer. 1 furtht
Occupancyhas been issued by the Department of Community Senices,
OFFICE USE ONLY:*****************************
Upper Fooling C Lower
Reviewed/Approved: -Dept of Community
1\ s:re„n?n/r-maslttr Rt=smFxnnL
9UndrSlab
Final Sit
Services (Date)
PLUMBING CONTRACTOR:
? TOP
fly" ?1 9? ?pi?8
Plumbers Indiana State License #: @
` j
?'-00 (T??13je
Which plumbing codes will be applied to the construction:
QSntemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE G POST & BEAM -PIER
C';) - B ?iBASEMENT(WALKOUT:_Y_j_P
this permit is valid only if construction rommences within ISO
apancy issued) within IS months of the issuance date. Class I
75 LAC 12) regarding expiration time frames for beginning and
Filing Fees:
i of a structure, or any change in the use of land or structures
iima, and the-Zoning Ordinance of Cam el Indiana-199 (Z-
)diana, and all Acts amendatory" thereto. 1 further certify .hat only
Limon will not be used or occupied until a Certl6cate of
/d -L9-o7
Gate
Base inspections: S(rf Charged Re-
Cert. of Occupancy: S 5 Reviews