HomeMy WebLinkAbout08010098 ApplicationCity of Carmel /Clay Township Permit #: Od/C (I
RESIDENTIAL 1WROVEMENT LOCATION PER-NUT APPLICATI(
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structur
BUILDER NAME. PHONE :
? :z 62
Y FAX:
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OF
RECORD' STRE ADDRESS: STATE: ZI Y?
BUILDER'S EMAIL ADDRESS:
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? BEST METHOD OF CONTACT:
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PROPERTY NAME. PHONE : FAX:
OWNER:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT S: ! SUBDIVISION NAME:
6 v
, SECTION: ZONING:
& PROJECT /
INFO: ADDRESS OF CONSTRUCTION: `
L SQUARE
FOOTAGE: Z Z
Y JJ !
SEINER UTILITY
PROVIDER: C?? f WATER UFnLrrY
PROVIDER: ?'` ?' `? ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
;2-?J~ 0 J U
`y _
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COM QN / BZA / BPW DOCKET
IF APPLICABLE):
TTS
L AND
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R
OUNTY WE
OR?l?G RERF
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NUMBERS; TAC DATE(S); AN
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(
FLOOD ZONE AREA DESIGNATION(S) _
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TAX MAP PARCEL LLI
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FOR THIS PROPERTY:
TYPE OF ONSTRUCTION:
INGLE FAMILY
TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc.)
TYP6FMPR0IIEMENT; 4y'lh
0- lEw STRUCrURE C
O ROOM ADDITION(fi) T}-
O PORCH ADDIT1DN(S)
O DECK ADDITION(S)':',f? T
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Early Release Manufactured
Permit: Y N Trusses: _Y N
Lot Split: _Y __t? Sump Pump: _Y _N
FOUNDATION TYPE: (Chedc all that apply for the new
construction area)
CE ?CRAWLSPACE ? POST & - BEAM -PIER
G SLAB C'- EMENT (WALKOUT:_Y -- '
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 18 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, reconstruction, enlargement, relocation, or alteration 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. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further cemify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certdt"te of
panty been issued y the pattment of Community Senices?geI Inndiana./ y,?,?
Siarature of O nwor Aithoriz sent Print Cate
OFFICE USE ONLY:
Under Slab
Rough In ( Meter Blase Final
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
TOTAL:
# Charged Re-
Reviews
Additional Fees
FQn RxPivari hv- O Uniform Plumbing Code w/Indiana Amendments
S.Perrnits/Fonns/ILP RESIDENTIAL Date