HomeMy WebLinkAbout07120077 Application4q4,
°`wZ City of Carmel/Clay Township Permit # ?
i RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
`. xouxn.% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME.
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/A PHONE:
76 5 'd 7 - S5 RtlH
a,- 765- 6 yo
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RECORD: STREET ADDRESS:
30 CITY: STATE:
nalr/ o ZIP:
D/6
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
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, o n e s
PROPERTY NNNpppMMMEEE
- PHONE: FAX:
OWNER: o
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STREET ADDRESS:
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I ZIP
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LOCATION LOT #: SUBDIVISION NAME'
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FIT
2 CTION:
a ZONING:
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PROJECT Xlf
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INFO: ADDRESS OF CONSTRUCTION:
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FOOTAGE: 6
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SEWER UTILITY
PROVIDER:
C, WATER UTILITY
PROVIDER: r OF CONSTRUCTION: 00
, (EXCLUDI ILA. VALUE)
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Ac
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NAME OF UTILITY E)(CAVATIO CONTRACTOR( PLAN COMMISSION / BZA / B
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NUMBERS; TAC DATE(S); AN TOR COUNTY WELL AND,IOR SEPTIC PERMI T,$'S
(QI
PLTCABLE):
FLOOD ZONE AREA DESIGNATION(S) :/,
FOR THIS PROPERTY: 1, TAX M PARCEL
' , C S 13 /?
-13- a2- - / ?I -
TYPE OF CONSTRUCTION:"/
L' SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION: ,
Early Release
Permit: Y
Lot Split: _Y _N
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR- / 00,7, Oov
? NEW STRUCTURE YD V1
S d' . umber's Indiana State License #:
-? PORCH ADDITIONS
REMODEL Which plumbing codes will be applied to the Construction:
_ Basement Finish only
? ACCESSORY BUILDING CD International Residential Code w/Indiana Amendments
O DETACHED GARAGE C) Uniform Plumbing Code w/Indiana Amendments
D ATTACHED GARAGE ?1
O DEMOLITION _ lv FOUNDATION TYPE: (Check all that apply for the new
?/ V- c ructio area)
Manufactured
Trusses: d /Y -N `YIVL` / RAW LSPACE POST 8, _ B M _PIER
?/
Sump Pump: Y,Pl (4`4 -? LA1 SLAB O BASEMENT (WALKOUT: 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 date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that ary constriction, reconstruction, enlargement, relocation, Or alteration of a st: cture, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable Isvs of the State of Indiana, and the-Zoning Ordinance of Carmel Indiana -1993" (2-
239) and amendments, adopted under authority of I.C. 36-7 et seq, General Assem-.1y of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and Door drains are connected to the saritary sewecr4furcher certify that the construction will not be used or occupied until a Certificate of
Occupancyhas been issued by the DepxRpent of Commtdt`-ty Services, Cannel, Indiana.
Authorized Agent
OFFICE USE ONLY: ************* ****" {""
fir. iy frs.
SPECTIONS REQUIRED:
peer Footer Lower Footing Under Slab
Rough In ' Meter Base Final Site
/a-/7-U7
Date
Filing Fees: C7 to
Base Inspections: 1-0717 r0 # Charged Re-
Reviews
Cert. of Occupancy: 5S-5-0
• /Z- 2? di
Revie ro ep ervices (Date)
S:PermltyFrxmy'ILP RESIDEN i IA
D o r c • Additional Fees