HomeMy WebLinkAbout07120090 ApplicationCity of CarmelJClay Township Permit #: 0 1 b? rj
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
nrcaKP,j For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME - E. ten FAX:
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OF : gulafif
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RECORD: SFREETA ESS: t5? p ?. -. '? STATE: ZIP:
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METHOD OF CONTACT:
ff?ST EUILDER'S EMAILIADORESS,''?
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PROPERTY Nnr1e' PHONE: TRUCTION
Subject to compiiance with atl regulations
OWNER:
STREET ADDRESS: crr: DEPT OFEtffv'NUNII'ISERVICES
LOCATION _ :w1,F
LOT A', SUBDIVISION NAME' SECTION:fNDI
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NP
& PROJECT P
INFO: ADDRESS OF CONSTRUCTION: SQUARE
FOOTAGE: yZ, JE,?
SEWER UTILITY ++ y?
C T1
PROVIDER WATER UTILITY Q D?y7
PROVIDER:
7 ESTIMATED COST OF CONSTRUCTION
(EXCLUDING LAND VALUE) 2 (
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NAME OF URL1TY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA 1 BPW DOCKET
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AND/OR COUNTY WELL AND,OR SEPTIC PERMIT WS (IF APPLICAELE):
NUMBERS
TAC DATE(S
1
,
;
);
1
FLOOD ZONE AREA DESI aNATION(S)
FOR THIS FRDPERTY: TAX MAP PARCEL z:
(f QO? II?
TYPE or CONSTRUCTION:
O" SINGLE FAMILY
? TOWN HOME
0 TWO FAMILY
# of units being
constructed at this
time=
? RESIDENTIAL (For
Additions, Remodels. Etc.]
TYPE OOF/F IMPROVEMENT:
C;/NEIN STRUCTURE
? ROOM ADDITION(S)
? PORCH ADDITION(S)
? DECKADDITION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
?..DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
PLUMBING CONTRACTOR: `? by .OVA
Plumbers Indiana State Licens /
w
?ffryuy ?s.ss
Which plumbing cedes will be applied to the construction: 3,S
i?ematianal Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATION:
Early Release
Permit: Y NN
Lot Split: -Y " N
Manufactured
Trusses: YN
Sump Pump: _Y_,
FOUNDATION TYPE: (Check all that apply for the new
construction area)
C?I C?RAWLSPACE POST&_BEAM_PFER
L3?SLA8 ASEMENT (WALKOllT:_Y_N)
For Single Family and Tajo Famil y dwellings, additions, remodels, aadlor accessory stmcnues, this permit is valid only if construction commences wirbin 180
days of the date of issuance of the building permit, and must he Completed (Certificate of OecmpancY issued) within IS months of the Issuance date- 0-- I
structure permits are subject to the General Administrative Rules of the State of fndiana (See 65 IAC 12) regarding expiation time frames for beginning and
eompletimg construction.
I, the undersigned, agree that any construction, reconatrocnon,enlargement,relocation, oralteraciom ofa st_acrure, or any champ it, the use of land or snic<u_zs
requested by this application will comply with, and confom to, all apalicable laws of the State of Indiana, and the -Zorang Ordinance of Carmel Indiana -1993" (Z-
289)and amendments.adopted underauehonryof I.L. 367 etseq, General Assembly of6,e State c Indiana, and all Acts amendatory L.'XPe0. I furthercertify that only
kitchen, bath, and floor crums a=e connected to the sac imty sewer I further cut y that the construction milt not be used of occupied until a Cerebrate of
Ocerrpaacyhas been issued vthe Deputment of Community Services, C el, Indiana.
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Sw reOr Owner or Aau n. /' meat 11 iet oate
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OFFICE USE.ONLY:
INSPECTIONS REQUIRED; Filing Fees: '53!J: c o?
Base inspections: 7. ?® 9 Charged Re-
pper Foo ' wet F Under Stab Renews
Cert. of Occupancy: ?Al
ough r B inn Si //II try
Additional Fees
Reviewed/App2?f?. Dept of CSI rrunity Services (Date)
S:Fe: ml6lFmnal?LP RE51aEm1AL ?/ Date