HomeMy WebLinkAbout07110069 Application-AG orpt Wqd? ?
City of Carmel/Clay Township Permit #: 11
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
?uoRxr,/ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE: FAX:
F 709-9305- -S
O
RECORD: STREET AD ss: CITY: STATE: ZIP:
-
,-j6 3 t w. o 3
K
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
O -aZ Z),5
PROPERTY NAMEo PHONE: FAX:
ER -016(O
OWN
:
STREET ADDRESS: CITY: STATE: ZIP:
Ic't e E r 603
LOCATION LOT SUBDI ISION NAME: SECTION:
Briar Cree,'
Adz ZONING:
-?
R
JECT
&P
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INFO: ADDRESS OF CONSTRU N: SQUARE
FOOTAGE: a
5* ?
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION: 00
PROVIDER: PROVIDER: C_ r VV -e
r-
? (EXCLUDING LAND VALUE) Q -
ZA / BPW DOCKET
B
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / D
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TAX MAP PARCEL #:
FLOOD ZONE AREA DESIGNATION(S) ri - U
1
FOR THIS PROPERTY: ? TYPE OF CONSTRUCTION:
O SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL(For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y ?N
Lot Split: _Y ?N
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
X ROOM ADDITION(S)
? PORCH ADDMON(S)
? DECK ADDITION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: _Y VN
Sump Pump: _Y KK
For Single Family and Two Family dwelling.
davs of the date of issuance of the building
structure permits are subject to the General
1, the undersigned, agree that any cons:; u n
requested by this application will comply %VL.
289) and amendments, adapted under author"
kitchen, bats. and floor drains are connected to
?e?"Fthe State of Indf
''WW'' completing coastruLt
on, enlargement, relocation, or a!
to, all applicable laws of the Stat
Lseg\General Assembly of the St
ewer. I,further certify that the
nity Seances, Carmel, Indiana.
apply for the new
. oz.
BEAM -PIER
,noo )i commences within 180
"f the issuance date., Class 1
time frames for beginning and
oV[ tRa?tge m the use of land or structures
CrZo'thilg Ordinance oECarmel Indiana-1993" (Z-
andail.Acts amendatory- thereto. I further certify that only
will not be used or occupied until a Certificate of
D. e
OFFICE USE ONLY: **
INSPECTIONS Lower REQUIRED:
U per Footin Lower Footing Under Slab
aagi"r Meter Base Final Si
r-Va ./a MISQN I -?
Reviewed/ Droved: Dept. of Community Services (Date)
S:Permits/FOr OLP RESIDVMm
Filing Fees:
Base Inspections: ?70?- Charged Re-
Cert. of Occupancy: Reviews
SS' d
Fee ReCENed W:
PLUMBING CONTRACTOR1By
KA
Plumbers Indiana State License #:
Which plumbing codes will be applied to the construction:
C) International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check
construction area)
CRAWLSF.
CD slm (, 0
Additional Fees:
P.R.LF.: