HomeMy WebLinkAbout07110161 ApplicationPermit #: e)1t1/z
City of Carmel/Clay Township
RESIDENTIAL M PROVEMENT LOCATION PERMIT APPLICATION
xouy?/ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. PHONE: FAX: r .? u
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RECORD: STREET ADORES,--I ,
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BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: J
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NAME: PHONE: uU!E.Ci IC C ^,pi; ,FApvIV o"I! regulations
OWNER
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STATE:
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STREET ADDRESS: QTY: '
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CITY r; y; l,l
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LOCATION LOT A: SUBDIVISION NA-0 SECTION: v ,, ,({ONING:
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PROJECT ' "'
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INFO: ADDRESS OF CONSTRUCTION:
G FOSQUARE
OTAGE:
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SEWER UTILITY
C f It ( WATER UTILITY Q G
PROVIDER ESTIMATED COST OF CONSTRUCTION: ? V
(EXCLUDING LAND VALUE) ?` f D d P O
PROVIDER:
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
OR SEPTIC PERMIT #'S (IF APPLICABLE):
L AND
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W
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NUMBERS; TAC DATE(S); ANDIOR COUNT
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FLOOD ZONE AREA DESIGNATION(S) TAX MAP PAR
FOR THIS PROPERTY:
inn
TYPE OF CONSTRUCTION:
IINGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y
_Y N
TYPE OFIMPROVEM :
0-1E STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: /_ N
Sump Pump: r/Y-N
PLUMBING CONTRA R:
Plumber's Indiana Sta' tense #: J
cJ ? d B I/ _
Which plumbing mdles will be applied to the nn J
S-lAemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAVILSPACE ? POST & _ BEAM -PIER
f . Co..? EMENT (WALKOUT:--Y
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 he completed (Certificate of Occupancy issued) within IS months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 WC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any corstroction, reconstruction, enlzrgemrnt, relocation, or alteration o: a structure, or any change ir, the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the -Zoning Ordinance of Carmel Indiana -1993' (Z-.
289) and amendments, adopted under authonw of fC. 36-7 et seq, Gereral Assembly of the State of Indiana, and all Acts amendatory thereto. 1 furthercenify that only
kitchen, bath, and floor drains are connected to the sanimr,? sewer. I further certify that the construction will not be used or occupied until a Cert6care of
Occupancyhas been issued the Department of Community Services, Carmel, Indiana-
? z_ GIZd cE l /" _ a
Sis or Owner or Authoti?t Date
OFFICE USE ONLY: zzxse:s*s*x*..r•x.«.a.»<axrsssssra:*ssrsxs*sxzss*rxss-?i e•/' *ssx:s*ssxss:s:
INSPECTIONS REQUIRED: Filing Fees: _ V
Base Inspections: r-2 a'7 J p n Charged Re
Reviews
Cert. of Occupancy: ?O
P.R.I.F.:
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Additional Fees
Fee
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