HomeMy WebLinkAbout08010036 Application``?? os eta??,
City of Carmel/Clay Tolwnship Permit #: Q 0
RESIDENTIAL IlVIPROVEMENT LOCATION PERMIT APPLICATION
wniReP , For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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BUILDER NAME.
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lder,s
A PHONE:
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i7-9i?-11) "7 FAX:
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RECORD: STREET ADDRESS:
2 Co /Ly /3e CITY: STATE:
n-Lk -ne- ZIP:
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tioAlC4 1 BUILDER'S EMAIL ADDRESS: BEST METHOD F CONTACT: _ 6 3r?2
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PROPER NAME:
? LA PHONE:
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OWNER: C I -
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT #: I SUBDIVISION NAME:
s? a SECTION:
I ZONING: 1 /1 _
- 1C?e'r2tjGtC -?
&PROJECT
INFO: ADDRESS Of CONSTRUCTION:
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Y
G?
f f
r SQUARE
FOOTAGE: S
SEWER l1TTl]Tl
PROVIDER: ;JZ1 WATER UTILITY
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yff? Z PROVIDER: r ?I ?er V
II ' ESTIMATED COST OF CONSTRUCTION: ?r?
(EXCLUDING LAND VALUE) 5Wi 000
I BPW DOCKET
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA 1 CN ?'U?' r' tl t
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT *'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL is
FOR THIS PROPERTY:
F N TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
Im SINGLE F /'? 181 NEW STRUCTURE ED S 141 /Z a hd7y 4P CD 162D00 15
O TOWN H ?s O J?J ROOM ADDITION(S) Plumbers Indiana State License I rO TWO FA V RCH ADDITION(S)pr1 ?G?CC?r? 1,14;,)0-7
# of nits bel'r? ADDITION(S) /[? 1 `r -* &I 1_ 'L • ?i rtr7f,-
co cted at thig -1 ?v EMODEL Which plumbing codes will be applied to the construction:- 6? @? 1
time: Basement Finish only
O RESIDE / ACCESSORY BUILDIN ' LJ International Residential Code w/Indiana Amendmer>?S 3/07
Additions. Rem A DETACHED GARAGE V, d Uniform Plumbing Code w/India admen
ATTACHED GARAGE ?V? PROJECT INFORMATION: O DEMOLITION FOUNDATION TYPE: ?F a?ppty for fnewJ140)
Early Release Manufactured construction ar?a?Q~ _
Permit: f Y _N Trusses: _Y ? N rr( -??n ?s M -PIER
Lot Split: _Y N Sump Pump: Y N Bk$EME Y N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory cures, t ` s v?d ?t?lj construction commences within 180
Srtfhj? t8tbenths of the issuance date. Class 1
days of the date of issuance of the building permit, and must be completed (Certificate o butt67t
structure permits are subject to the General Administrative Rules of the State of Indian'61ga>!dtp$4zpiration time frames for beginning and
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or 3{ilRnoi n of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
289) and amendments, adopted under authority of I.C. 367 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drams are connected to the sanitary sewer I further certify that the construction will not be used or occupied until a Cerd6cate of
Occnpx wyhas been issued by the De artment of Community Services, Carmel, Indiana.
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signawre/ol owner or Authorized Agent Print Da
OFFICE USE ONLY: ********************************* * ?:::;????fi{???????? fr..?fi.-------------------
INSPECTIONS REUIRED: Filing Fees: /. -5? )
Base Inspections: f 10 3, ?/ # Charged Re-
per d Lower Footing Under Slab Reviews
Cert. of Occupancy: 55, 115 0
Rough In Meter Base Final Site
P.R.I.F.: Additional Fees
d 5 _ TOTAL:
Reviewed/ ed: . of Community Services (Date) / [fig
S:Permits/FOrms/1 RESTDENTUL F,o 9?--et DOE