HomeMy WebLinkAbout07100218 Application??`rn?nyr Permit #: I 1 tld??C]
. gyp. City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
rotnna,% I For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME:
K-°,? ?Q G ?; PHONE: FAX:
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RECORD: STREET'AODRESS: CIT'r: STATE:
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Zi ZIP:
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BLDEWS EMAIL ADDRESS:
kis 1`1? S 0.t l5 I ?UItG"cv 1 ` ''S BEST ME'r{-N?OD OF CONTACT:
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PROPERTY NAME. PHONE: FAX:
OWNER S
:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION
& PROJECT LOT a: SUBONISION NAME:
`i on e 01 (J? SECTION:
0'4 cL 1 &5 C ZONING:
)
INFO: OF?NSTRUCT ON:
ADDRESS
, SFOOTAGE: W D,
t
914 . !iw [jam
SEWER UiTLTTY WATER UTILITY i.
PROVIDER: ?"-?~? UtJ PROVIDER: -e ESTIMATEDCOS7OFCONSTRUcg0N:
XXCLUOING LANG VALUE)
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' AME OF UII[STYAXCAVATION.OONT CTOR',TLAN COMMISSION 1 BZA J BPW DOCKET 0 rJ
D2
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WELL AN DIOR SEPTIC PERMr7 O'S (IF APPLIGIBLEJ (!
k COUNTI
NUMBERS TAC DATE(S), AND d
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FLOOD ZONE AREA DESIGNA ON (5) ,?1J
TAX MAP PARCB'y I
V
FORTHISPROPERTY:
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TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR ? [? Ul ! O=U LUU! U
ILY
SINGLE NEW STRUCTURE
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Q OOM ADDITION(S) '
TOWN HOME R s Indiana State Lic
pI
L[mber
O TWO FAMILY O PORCH ADPCRON(S) 9 1 ?? Ol 4 S. M D I ?) J
i•I c l
A of units being O DECK ADDITION(S) 1
constructed at this ? REMODEL Which plumbing codes will be applied to the construction:
time:
? RESIDENTIAL (For _ Basement Finish only
O ACCESSORY BUILDING CI International Residential Code wJIndiana Amendments
Additions, Remodels. Etc.] ? DETACHED GARAGE Code wJIndiana Amendments
Uniform Plumbin
? ATTACHED GARAGE g
PROJECT INFORMATION: L-1 DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release ./
Permit _Y A N Manufactured
Trusses: Y X N P I I. BEAM -PIER
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T?
Lot Split: _Y K N Sump Pump: ?Y _N RE LEAS E1
ij CIc?ectp
,5??p`?y
KOUT _Y XN )
Subject to GOrTTFtlcr E• Wi ? ?I
For Single Family and Tv ro Family dwelhngs, additions, remodels, andior
days of the date of issuance of the building pemut, and must be complet
structure permits are subject to the General Administrative Rules of the `;
"CveliaOonly n?' conarrv,.c,[?an commences within 180
i? vf?'?ilhe issuancedate, Class I
ceaardiua?e>sNrAtiotit?Faames far Lxginning artd
I,theundersigned, agree Lhat any cons[rncrion, recnns[ructian,enlargement. relxation; of aliczationoINOMany chaagc in the use ofland or srrvccuxes
requested by This application will comply with, and cenform to, all apalicahte laws of tae State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (
289) and anend:nencs, adopted under authority of I.C. 36 ec 4e47 e Iv e.= Lhe State of Indiana, and all Ica ?mendazory :hereto- T'nrther certify tfu[ nnly
kircheq haLh, and Hoer trains are connected to the "si?r itgrv server. Ifurther certifyt h1construction will not be used oroccupied until a Cerrlh reW
Occupant has }ae__ea Ism the Dep entgtt,ommunits Services, Carmel, Indi
OFFICE USE ONLY:******************
Filin ees: d
INSfECRREI]: J?I C arged Re-
pper F0Otm wet Foot' Under 5 b Base Inspections: _ D Reviews
Cert. of Occupancy: S
Rough eter Base F nal Site P.R.I.F.: C/ 1)0 Additional Fees
TOTAL: fO??
Gr Inl l 11-2-0-7
Reviewed/A roved: Dept. o Community 5erviceS (Date) /
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s:Permits/tams/ILP a=_soeRTLAI Fee Recei ee by: v -P Da[e E?