HomeMy WebLinkAbout07120111 ApplicationCity of Carmel/Clay Township
Vu?TIAc=, Permit #:
RESIDENTIAL IMPROVEME ERMIT APPLICATION
NINA ?/ For Single Family, Town Home, & Two Family: Remodels, & Accessory Structures
BUILDER NAME' _ PHONE: 4d- LS -S24I-t>Wtt FAX:
G7?-I5(? ct
?l -ZL5- 5 - 3 GS 3-3
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RECORD: STREET ADDRESS: CITY: STATE: ZIP:
1-7- 0 4: ,? ?J?w S- N -7
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efew lccl j/4 BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY
OWNER: NAME. PHONE: FAX:
G2 I g(Z- Urbd 3 -7 -8 '5-56v
STREET ADDRESS:
oL CITY: STATE: ZIP:
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LOCATION LOT SUBDIVISION NAME: SECTION:
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ZONING
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& PROJECT u /t
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INFO: ADDRESS OCONSTRUCTION:
RELEASED FOR CONSTRUCTION QUUARREGE.
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SEWER UTILITY
GGLYI'YIG)
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ER WATER UTILTIY II j8C( t0 C,•
PROVIDE
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW F • to(JIWAWNIIT SEMI
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(J O
NUMBERS; TAC DATECS); ANOIOR COUNTY WELL AND/OR SEPTIC PERMIT #5 (IPPR c0F'CAR M EL J C%
4JI 1 L
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: I LA p,,,CEL u:
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TYPE OF CONSTRUCTION:
SINGLE FAMILY
TOWN HOME
O TWO FAMILY
At of units being
constructed at this
time:
RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y 4N
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
L°? ROOM ADDITION(S)
?5 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: -_Y _N
Sump Pump: 7k y _N
PLUMBING CONTRACTO
Plumbers Indiana State License #:
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
71- CRAWLSPACE O POST & _ BEAM -PIER
O SLAB O BASEMENT (WALKOUT:_Y_N)
For Single Family and Two Family dwellings, additions, remodeLs, andlor accessory structures, tKI-9 nv?u_'t ;M only if construction commences within 180
days of the date of issuance of the building permit, and must be compheted (COitL llca[e of Occupancy issued) 18 months of the issuance date. Class I
structure pemnitt are subject to the General Administrative RuI o , e State of Indiana (See"?5'IfiC12) regarding expiration time frames for beginning and
o Pleurig,constru'ction.
1, the undersigned, agree that any eonstruceon, reconstruction, enlar ent, relocation, or alteration o[ a structure, or any change in the use of land or strnetu=es
requested by this appli=tior. will comply with. and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1793' (Z-
299) and amemments, adopted under authority of 1 C. 367 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and Boor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
OccuDmerhas been issued by the Department of Communitv Senrices, Catmef. Indiana
signature of
tg.' .sn f?a-tkz-- 12--Z.$ -V--7
Print Date
****xxx******xxxx****xx**x*xxx*xx***x*x*xx*xxxxxx*xx**xxxxx*xxxx**xx***xxxx*x***x
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: e?57, o(o Base Inspections: 7?e r? Charged Re
CU-p-per Foo"fri Lower Footing Under Slab 5 e h Reviews
??? Cert. of Occupancy: :..J V
Final
P.R.I.F.:
Additional Fees
s:Peorlts/FO .%Xl RESIDENTIAL Fee Received W: / - - I (/(A/ Date