HomeMy WebLinkAbout07110037 ApplicationOi
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City of Carmel/Clay Township Permit #: 07 i I p 03 7
RESIDENTIAL MPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
OFILDER NAME: PHONE:
?( k-L E I?(YPs 575-`O X tJ get rI(y'7
AT aU? ? u U'
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RECORD: ?1F, L,
?159? N MC-Pa Q i A l?1
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N NOV 7 ZI20
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BUILDER's ?'N
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EDS ACT:
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PROPERTY FAX:
NAME. r, E'
OWNER: :. .... -
STREET ADDR ,, - i',?ni._G')34in id t!?J3. '- CITY: STATE: ZIP:
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LOCATION or yy I 5E5?ON:
+ 1 pE sloNv+E? ., 1£?] I lGS 1-
G ZONING: f
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&PROJECT
INFO: ADDRESS uCT?OjJ IN1)MK
O '1 V' I ) ! D 1 (A/' I-' (1 f FJ?V D
lJC? G
I?I SQUARE
FOOTAGE: ??.3
SEWER
PROVIDER:
(ONI"T
121 kui2l
RROVIDDER
L
(ACLU NGCLA DUAL E)STRUCnON t-` ?('
NAME OF LMLrrY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET ?4-6 7 f / D
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT S'S (IF APPLICABLE):
Ce-
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: (( It TAX MAP PARCEL (?(?
ICl " ? 01 -OL[q ,DDO
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
ED RESIDENTIAL (For
Additions, Remodels, Etc.)
PROTECT INFORMATION:
Early Release ?
Permit: _Y iN
Lot Split: _Y V_&
TYPE OF IMPROVEMEN
CYNEw STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECKADDrRON(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING=
O DETACHED GARAGE
O ATTACHED GARAGr
O DEMOLITION
Manufactured
Trusses: L_I?y _N
Sump Pump: ,_I_A N
PLUMBING CONTRACTOR:
Plumber's Indiana State License
n
Which plumbing codes will be applied to the construction:
C "Intemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
D CRAV?LSPACE O POST BEAM -PIER
O SLAB [32'CEBASEMENT (WALKOUT:_Y ?N )
3s
For Single Family and Two Family dwellings, additions, remodels, andlor accessory structures, this permit is valid only if construction commences within IBD
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.
I, the undersigned, agree that any constn:ction, recon<_tructioe, enlargernent, relocation, or alteration of a structure, or any change in the use of land or struc-?res
requested by this anplicaeon will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning 0=dirance of Carmel Indiana - 1993" (7-
289) and amendments, adopted under authority- of I.C. 367 et seq, GereraLAssembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitar; sewer. 1 further certify that the construction will not be used or occupied until a Certificate of
Occupancyhas been issued the Department of Community Services, Carmei Indiana.
ti ? o ( u,Ld ?,JO&lIC SAC-PO 4C?i7 1'1 ?- I0
1"?w... M In ......... e• «..,.:..n s...r Print Date
ONLY:x*xxxx***x*xxxxxxxxxxx***xxx**xxxx*****x*****xxxx *x:x*?* **xxxx*x?:)*?*?********
LrISPE?Fl Low REQUIRED: Filing Fees:
$Y1 \i Base Inspections: C Charged Re-
wtin Lower Footing Under Slab ?? L L '/aR
Final
(Date)
S:PenWu/FO gILP
Cert. of Occupancy: JYWV'VW J
P.R.I.F.: _ ! r'p t 1'3 o 00 Addilonal Fees