HomeMy WebLinkAbout07120089 ApplicationCity of Carmel/Clay Township Permit 1??0
1 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME' / PHONE: _? ?? ^ FAX.
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RECORD: STREET ADD S:
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BUILDERS EMAIL ADDRESS: / BEST METHOD OF CONTACT:
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PROPERTY _
NAME: PHONE: RELEASED OR COIFf-TRUCTION
OWNER fn ornDliance with all regulations
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STREET ADDRESS: > C`,
ZIP:
CITY: Oij: (L' FSTATE:`Ca
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LOCATION LOT #: /p 0 SUBDIVISION NAME: // Q?C?{3({y L' VI
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PROJECT (> A
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INFO: ADDRESS OF CONSTR(UCCTION:
6 7 ( H /
L ey y SQUARE 7
FOOTAGE: ?/ 70
SEWER UTILITY
PROVIDER:
z) WATER UTILITY
PROVIDER: G D MATED COST OF CONSTRUCTION: d Gil
(EXCLUDING LAND VALUE) -27
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DA TE(S); AND/OR COUNTY WELL ANDJOR SEPTIC PER MIT #'S (IF APPLICABLE): - V,
ROOD ZONE AREA DESIGNATION(S) TAX MAP PARCE #: C
FOR THIS PROPERTY: S I "? I
n
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y _N
Lot Split: _Y 7N
TYPE OF IMPROVEMENT:
'NEW STRUCTURE
D ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECKAODITION(S)
D REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
DEMOLITION
Manufactured
Trusses: _N
Sump Pump: N
PLUMBING CONTRA R: - - c'
i
r A/4S
PlumbisIndiana Sta en a #: "
f)r-
e
Which plumbing codes will be applie
temational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
C) CRAWLSPACE C POST & _ BEAM -PIER
LAB 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 IS months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
completing construction.
I. the undersigned, agree that any construction, reronstruciion, enlargenert, relocation, or alteration of a s'racture, or any change in the use o, land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Otdinanee of Carmel Indiana -1993" (2-
239) and anendmcnta, adopted under authority of LC. 367 et sea, General Assembly of the State of Indiana, and all Acts amendatory thereto. i further certify that only
hitcher,, bath, and floor dains are connected to the sanitary sewe_ i further certify that the construction will not be used or occupied until a Certificate of
Occupancy has been issued by a Department of Community Services, CarmyI Indiana.
9 /,1- ( ko ciI_- 12 21- t7
Slg ie of Owiain w Author] d Agent Priiic
OFFICE USE ONLY: *************************************************.:/.?._.{___'__.......??_'_'_____'
INSPECTIONS REQUIRED: Filing Fees: 7Cd?
ppe Footin Lower Footing Under Slab
ough In eter Bat Final Site
1 07
Reviewed/Ap d: Dept. of mmunity services (Date)
S:Pe rtafFix.%A P RFSTDEN' L
Base Inspections: 4R .S-7 '7-5r 1 CRe ewsRe-
Cert. of Occupancy: 6 5 6O
P.R.I.F.: Y? Additional Fees
T07A
Fee Received W:
Date