HomeMy WebLinkAbout07110022 Application71y r ,?.. Permit#: O / //6 ()a?
M : City of Carmel/Clay Township
RESIDENTIAL EMPROVEMENT LOCATION PERMIT APPLICATION
??aolcs?? For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE: FAX:
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RECORD: STREET DRESS: CRY: STAT E: ZIP:
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PROPERTY
OWNER: NAME'
JGfi j o C', e `PAUEO
Gil F COMrAUM'Jr
RLvjFE 'r s a6z 9 1 AON
STREET ADDRESS: /qtr
Cm': _
INDIA & L??
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LOCATION - LOT #: SUBDIVISION NAME:
c SECTION: ZONING:
& PROJECT DSO //-mac aGC J/ 4c
INFO: ADDRESS OF CONSTRUCTION: SQUARE
S FOOTAGE:
SEWER UTILITY WATER UTILITY
PROVIDER: ESTIMATED COST OF CONSTR
CLUD[NG LAND VALUE) UCTION:
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PROVIDER: (2_ .f/)
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1
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BPPW DOCCKETT
VATION CONTRACTOR; PLAN COMMISSION/
NAME OF UTILITY
EX'A
OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
AND
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C DATE
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UP
#
NUMBERS;
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0 71100 a
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: T PARCEL #:
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0 Fo Wo '
TYPE OF,d'?NSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y
Lot Split: Y _N
TYPE O PROVEMENT:
CY NEW STRUCTURE
? ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
? REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: _Y N
Sump Pump: Y _N
PLUMBING CONTRACTOR:
A /1 J" C-,_ Plumber's Indiana State License #:
C10 r -naa0R'O
Which plumbing codes will be applied to the construction:
G Interr]ational Residential Code w/Indiana Amendments
nlform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
0 CRAWLSPACE POST &_BEAM -? PIKER
0 SLAB EMENT(WALKOUT:_Y_V- )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, 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 IS months of the issuance date. Class l
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 that any construction, reconstniction, enlargement, relocation, or ahention of a structure, or any change in the use of land or structures
requested by this application ,ili comply with, and confoz to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z,
289) and amendments, adopted under authority of LC. 36-7 et sm, General Assembly of the State of Indiana, and all?.c-s amendatory tfereto. I Further cerr1 thar only
kitchen, bath, and floor dins are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Cerd Ecateof
Occupant has been issued by t e mt of Community Senices, Carmel, Indiana.
Signatureof t/wner Auth Agent Prin?6???? ` `t?? Date/. 3 D
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OFFICE USE ONLY:
WS?PECTIO Filing Fees: hh eg
Charged Re-
,;. ) . _. . Base Inspections: ' O+ $ ?0 -OW
65, 50
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