HomeMy WebLinkAbout07110074 ApplicationCity of Carmel/Clay Township Permit #0-1//-??
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
moo spa For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:
/ PHONE : 2- 6 2! FAX 4!/i O ?r /Z 2-
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RECORD: 57REET ADDRESS: STATE: ZIP:
BUILDER's ENTAIL ADDRESS: BEST METHOD OF ?Tp C U 1 iI )
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PROPERTY NA
: l. ; 2007
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OWNER
:
STREET ADDRESS: CfTY: STATE: ZIP:
By? --
LOCATION LOT »: f b UBDIVISION NAMF
L ` SEC ION:
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PROJECT J r
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INFO: ADDRESS OF CONSTRUCTION:
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07i1CO7 SQUARE
FOOTAGE:
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SEWER UT
PROVIDER: C T
Y Qjo
WATER UT
PROVIDER: ?y
ESTIMATED COST OF
(EXCLUDING LAND ALUE))RUCTfON: da (
J
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS;TAC DATE(S); ANDiOR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): Su ,f
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #:
5 Oaii
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1
FOR THI5 PROPERTY: Z
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( 0
TYPE OA?F CONSTRUCTION:
I,?iSINGLE FAMILY
O TOWN HOME
O TWO FAMILY
It of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels. Etc.l
PROJECT INFORMATIDN'
Early Release
Permit: Y ?NN
Lot Split: Y --N
TYPE OF IMPROVEMENT:
G??NEW STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
? DECi(ADDITION(S)
O REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
O DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: Y _N
Sump Pump: Y
PLUMBING CONTRACTOR: ' 14j ?IuS
r or Pit* 528-SIZ,
4,iL ri-a vJ
Plu bens Indiana State Lic rise
which plumbing modes wil I be applieE to the construction:
[r#ntemational Residential Code wJlndiana Amendments
? Undonin Plumbing Code wJlndiana Amendments
UNDATI TYPE: (Cha I at apply for the new
a
construction area)
Q? yyC??RQ?? {?{ g4t@PO T:&? BEAM PIER
'?At105LPPTBr.tY`r't?898E7`7EN?`??Af?OIRf Y ?N )
For Single Fanvly and Two Family dwellings, additions, xemudels, andior access {ttoc??t}}!!((gO, rs y' -" tiff' tortuneuces within 180
days of Lhe date of issuance of the building pennft, and mustbe completed (Corn ' `At't3 anths of the issuance date. Class I
structure perrnits axe subject to the General Administrative Rules of the State of I?a {See 1.5d'.a ? Vs xd? PRilfLration tm,e fraznes for beginrting and
completing construct '? CJ? ? r,
I, the undersigned, agree Char any construe:ion, T000cSttaCr.' n, enlargement. relocation, o [I'ppy fiZt'Cltctu> Mfty change in the use o land or stmctu,es
requested'oy [tis app3ic=rion tivill compk with, and car.[oan. to, all applicabie la:vs of the Syy7?[[Ideliaia, and the Doing Ortiiaaace o` Ca:meEIridiana - 1993` {Z-
2B9)andamendmer,[s,adopted?nderau[Sority ofIC3&7 et seq, General Assembl,Yo'th&AFe.f Indian, and ail Acts amenratory thereto I further certify that only
W[ch en, bath, and hoot cl-mns are corrected to the sanitary- sew er. T further certify that the construction will not be used or occupied untf a Certificate of
OccupiIecylaas been iV ed the Department. of Community Srtvices, Carmel, Indiana.
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Sla re et Gamer or Aub riz Aaea P t Date
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: n Charged Re-
Upper Footin Lower Footin Under Slah Reviews
Cert. of Occupancy: Je 5 -? 0
Dug n afar Base Ina I 1 /1 /?
P R i F: Additional Fees
fOT,
( _vt2.Fa MSS 11-20-61
Reviewed/Ap roved= Dept, of Community services (Date)
5', Pe"IL4Fenr%aLP RESIC EN' L
Fee Received hr. uace