HomeMy WebLinkAbout07110118 ApplicationA C%F Permit #n7 l0-1a
City of Carmel/Clay Township :
RESIDENTIAL EMIPROVEMENT LOCATION PERMIT APPLICATION
_?#ou+?.?' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NPHONE: FAX:
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RECORD: E 3qRESS CITY: STATE: ZIP:
?I 0 tJ 1))ER(0i ArJ LE CAUhL ?I o8:
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BUILDER'S EMAIL ADDRESS: BEST METHOD OF
'WtJ N E, P-'Phew Pau7k is rn
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PROPERTY NAME: PHONE: N FAX: r 2097
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OWNER:
STREET ADDRESS: CITY: y STATE. ZIP:
LOCATION
& PROJECT LOT SUBDIVISION NAME: +SECT[ON: ' it
C) I Y1ES C1 I L? L F r'. r `.'e' L? ` ZONING:
-2
INFO: ADDRESS OF CONSTRUCTION: 'C)
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ALL ?IG
11-750 SQUARE ?] 1
FOOTAGE: -I o
%
SEWER UTILITY _
PROVIDER: W ? I, R WATER UTILnY !fir ?
PROVIDER: '4ESRMATED-COST Oj CONSTR ON:
(.CIUDING LANWVALUE) I
NAME OF UFILITYEXCAVAT ION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET Q S'
NUMBERS: TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #°S (IF APPLICABEE): CX C .
a
FLOOD ZONE AREA DESIGNATION(S) _ O 111 obtp
FOR THIS PROPERTY: f
i MAP PARCEL #_ 'O? -? I ?
) V
n
1
...
l J
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
7J/ OWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels. Etc.)
PROIECTINFORMATION:
Early Release
Permit:
Lot Split:
TYPE OF IMPROVEMENT:
C±' NEW STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
? DECK ADDITION(S)
O REMODEL
_ Basement Finish only
? ACCESSORY BUILDIM'
O DETACHED GARAGE
? ATTACHED GARAGI
? DEMOLITION
Manufactured
Trusses: !:Y _N
Sump Pump: _Y `TT
PLUMBING CONTRACTOR:
P-?1aY1'l'YYl ?-S OILS
Plumbers Indiana State License #:
CP 1000 (D ?
which plumbing codes will be applied to the construction:
?International Residential Code w/Indiana Amendments
'1'"Un'dorm Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE ? POST & _ BEAM -PIER
LVSLAB ? BASEMENT (WALKOUf:_Y_N )
Y _N
Y N
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 18 months of the issuance daze. Class 1
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 I.AC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, recons?.cdoc, enlargement, relocation, or alteration of a structure, or any change in the use of land or st;vctores
requested'oy this application will comply with, and conform to, all applicable laws of the State of lndisna, and the "Zoning Ordinance of Carmel Indiana -199r (7-
289) and amendments, adopted under autho_ity of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acs amendatory thereto. I further ceriFy that only
kitchen, bath, and floor drains are connected to the sanitary sewer- I further certify that the construction will not be used or occupied until a CeruBrare of
Occvpancyhas been issued by the Department of CommunityServices, Carmel, Indiana.
Niltiazs-lie?r %J0At rJE .?I??Pr1C?D II
'nt Print Date
***xx*xxxxxxxxxxxxxxxxx*x****xx**xxxxx*xxx*xx**xx***xx*xxxxxxxxxxxxx***xx*.**xx**
OFFWC USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: ?7n3r?,0
Base Inspections: o - 60 merged Re-
Upper Footing Lower Footin Under Slab _ Reviews
Cert. of Occupancy: ?(_?
t n eter Bas Final Site rr ,_, ob
P.R.LF.: Additional Fees
T TAL:
Reviewed/ : Dept. of municy Services (Date) ?j-g?y,n ( Ak/j
S: Pernuts/F.VILY RESIrErrnAt
Fee R Xd lrv: Date