HomeMy WebLinkAbout07100118 ApplicationPermit #: OD?/G
City of Carmel/Clay Township
RESIDENTIAL EMPROVEMENT LOCATION PERMIT APPLICATION
tNOlax?.% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. PHONE: FAX:
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RECORD: STREET ADDRESS: CITY: STATE: ZIP:
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CONTACT:
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BUILDER'S EMAIL ADDRESS: BEST METHOD OOF
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PROPERTY
OWNER: NAME: PHONE: CCeIf\\J: +AW
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STREET ADDRESS: CITY: STATE: ZIP:
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LOCATION LOT #: SUBDIVISION NAME: SECTION: ZONING:
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INFO: 1 -6 ?NJ
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ADDRESS OF CONSTRUCTION:
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FOOTTAG AG
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SEWER UTILITY -{' ` • (
PROVIDER: C
R WATER UTILITY
PROVIDER: EsTLmATED COST OF CONSTRUCTION',
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(EXCLUDING LAND V
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION J BZA! BPW DOCKET ' I M
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NUMBERS; TAC OATE(S); ANDi OR COUNTY WELL AND/OR SEPTIC PERMIT 8'S (IF APPLICABLE):
ZONE AREA DESIGNATION(S)
FLOOD T
TAX MAP PAR 0C
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FOR THIS PROPERTY: q
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17 -I
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TYPE OF CONSTRUCTION:
O SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions. Remodels, Etc)
PROJECT INFORMATION:
Early Release
Permit: YN
TYPE OF IMPROVEMENT:
• O ROOM ADDrTION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
J _ Basement Finish only
® ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: _Y
Lot Split: Y N Sump Pump: _Y
For Single Family and Two Family dwellings, additions, remodels, an
days of the date of issuance of the building permit, and must be cam
structure permits are subject to the General Administrative Rules of I
aL
J
PLgencian NTRN
PlSi Whcodes will be applied to canstru n: C.FJ??CSf?°c
O International Residential Code w/Indiana Amendments
O Uniform Plumbing
F0?
Amendments
all that apply for the new
& _ BEAM --PIER
LKOLT:_Y N )
Ad only if construction commences within 180
within 18 months of the issuance date. Class I
rding expiration time frames for beginning and
I, the undersigned, agree that any construction, reconscmction, enlargcment, tttor alteration o€ a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable s ,,it none of Indiana, and the -Zoning Ordinance of Carmel Indiana-1993' (
239)an ame dments. ado cad under authority o€IC 36-7etseq, General Assembly of the State of Indiana, and all Acts amendatory thereto. lfurther certify that only
Door ' s a e connec o e sanitary sewer. 1 further cerrify that the construction will not be used or occupied until a Certificate of
kitchJ,y'?as hon
Occu en i by he ent of Community Senices, Carmel, InC(iapa
(_J1 0.S 16 (181m?
annex. .nt ow .xiza,- Print Date
xxx************x****x****xx****xx****xxx**xxxx********x****xxxsxxxx*xxx*********x
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: 5 q .i4n x 36 QO x Charged Re
Base Inspections: Reviews
per oating, ower Footing nded Slab Cert. 55-
of Occupancy:
41u h Meter Base Final Site
P. R.I.F.: Additional Fees
?aL_? 2-2u-75] T •C1?
ReviewedjA proved: Dept. of Community services (Date) 570
S:Pennas/Fo.WI P RESIDENTIAL Fee Recelved by: Date '