HomeMy WebLinkAbout07110025 Application4 V??R\
City of Carmel/Clay Township Permit: C71(
' RESIDENTIAL HVIPROVEMENT LOCATION PERMIT APPLICATION
wa1RMp j For Single Family, Town Home, 6 Flew Structures, Additions, Remodels, & Accessory Structures
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BUILDER NAME: TO Omp;ntl-All ? 1 B GJ?
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RECORD: STREETADDRESS: ur ?R ) STA
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BUILDER'S EMAIL ADDRESS:
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CONTACT.
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PROPERTY NAME: PHONE: FAX:
OWNER Bit
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STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT SUBDIVISION NAME:
JZ S/?.?. ?? dl SECTION:
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24 ZONING:
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PROJECT
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INFO:
ADDRESS OF CONSTRUCTION: tt''
6?"a /I?rn k/e Ln ?J
SQUARE Z? y't5
SEWER UTILITY
PROVIDER: C
2 (4/ Ja WATER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) do O, u?
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): s
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NUMBERS; TAC DATE(S); ANDI •?
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FLOOD ZONE AREA DESIGNATION(S) O7 1 ooAq
t TAX MAP PARCEL
FOR THIS PROPERTY: ?
TYPE OF CONSTRUCTION:
0-510NGLE FAMILY
O TOWN HOME
O TWO FAMILY
At of units being
constructed at this
time:
CD RESIDENTIAL (For
Additions, Remodels. Etc.)
PROTECT INFORMATION:
Early Release
Permit:
Lot Split:
TYPE OF IMPROVEMENT:
ciI- Ew STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECKADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured [!
Trusses: =Y -N
Sump Pump: _Y
PLUMBING CONTRACTOR:
Plumbers Indiana State Licensb #:
ids- s e 9
Which plumbing codes will be applied In the construction:
Q4temational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
1:D ?CRAWLSPACE O POST & BEAM -PIER
lid' SLAB O BASEMENT (WALKOUT:_Y-N )
_Y N
_Y _N
For Single Family and Two Familydwellings, 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 18 months of the issuance date. Class I
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, reconstruction, enlargement, relocation, or alteration of a stricture, or any change in the use of land or structures
requested by this application will comply with, and conform to. all applicable laws o: the Sate of Indiana, and the "Zoning O_dinance of Carmel Indiana -1993" (2-
239) and amendments, adopted under aathorl-y of I.C. 36-7 et sec, General Assembly of the State of Indiana, and all Acts amendatory Hereto. I furthercertify that only
kitchen, bath, and floordrains am connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Ceru6camof
Occ? hu been i&-puedjpy the Department of Community Services, Carmel, Indiana.
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Date
nature of Owrv or A.thoriZlid Agent "t
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OFFICE USE ONLY:
INSPECTIONS RE UIRED: Filing Fees: ?I d
Base Inspections: p, p7• ?JO # merged Re-
U oti wer Footin Under Slab Reviews
Cert. of Occupancy: -5155o
ugh In ter Base - Inal S 01nn 00 Additional Fees
P.R.I.F.:
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