HomeMy WebLinkAbout08010075 Applicationr
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City of f Carmell Clay Township permit #:
RESIDENTIAL 1WROVEMENT LOCATION PERNIIT APPLICATION
For Single Family, Town Borne, & Two Family: New Structures, Additions, Remodels, & Accessary Structures
BUILDER NAME: FAX:
RECORD: STREET ADDRESS: CITY: STATE: ZIP:
-7 7 a I J wf /V I LS
BUILDER'S E'M'AIL++--ADDRESS : - ' _ BEV METHOD OF
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PROPERTY NAME: CE
OWNER:
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STREET ADDRESS:
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LOCATION LOT #: SUBDMSION NAME: SECTION: ZONING: `
& PROJECT
INFO:
ADDRESS ?OiF CONSTRUCTION: /
SSUARGE: ! / 7 ? 4
SEWER UTILITY
PROVIDER: WATER UTILITY.
PROVIDER:
j ESTIMATED COST OF CONSrRU ON:
(EXCLUDING LAND VALUE) + !-
C L-4 ??
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
ANDJOR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): N/
NUMBERS
TAC DATE
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FLOOD ZONE AREA DESIGNATION(S) N C" -7- e, fvl t X) TAX MAP PARCEL #:
FOR 7 -iIS PROPERTY: _1 _7,
TYPE OF CONSTRUCTION:
1!9 SINGLE FAMILY
G TOWN HOME
C TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions. Remodels. Etc.)
PRO] ECT INFORMATION:
Early Release
Permit: _Y X N
Lot Split: Y K N
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
ROOM ADDITION(S)
O PORCH ADDITION(S)
C DECK ADDITION(S)
REMODEL
_ Basement Finish only
D ACCESSORY BUILDING
CD DETACHED GARAGE
C ATTACHED GARAGE
C DEMOLITION
Manufactured
Trusses: ?Y '\ N
Sump Pump: _&-Y _N
For Single Family and Two Family dwellings, additions, remodel
days of the date of issuance of the building permit, and must be
structure permits are subject to the General Administrative Rule
I, the undersigned, agree chat any construction, reconstruction, es
requested by this application will comply with, and conform to, all
289) and amendments, adopted under authority of I.C. 36-7 et seq,
k xh.en, bath, and floor drains are connected to the sanitary sewer.
PRICE pkcl-T
Plumber's Indiana State License #:
Which plumbing codes will be applied to the canstruction:
C International Residential Code w/Indiana Amendments
R Uniform Plumbing Code w/Indiana Amendments
FOU DATION TYPE: (Check all that apply for the new
construction area)
C? CRAIWLSPACE O POST & _ BEAM !PIER
? SLAB ?A, BASEMENT (WALKOUT Y-X_N )
and''or accessory, structures, this permit is valid only if construction commences within 184
ompleted (Certificate of Occupancy issued) within IS months of the issuance date, Class I
of the State of Indiana (See 675 TAC 12) regarding expiration time tames for beginning and
completing construction.
ement, relocation, or alteration of a structure, or any change in Lhe use of land or structures
?Scab[e laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1493" (Z-
LerAAssemaly of the State of Indiana, and all Facts amendatory thereto. I Further certify that only
irthet certify that the construction -will not be used or occupied until a Certificate of
E- 7-T 9 A e?
l-l -F iZn 0IV
Date
OFFICE USE ONLY:
INSPECTIONS REQUIRED:
per Footin Lower Footing Under Slab
Rough In Meter Base real Sit
4 I-,?e- 6
Rev' JApproV ept. of Community Services (Date)
S:?erm0wFwnVILP RESIDENTIAL
Filing Fees:
Base Inspections: Charged Re-
Cert. of Occupancy: Reviews
S
P.R.I.F.:
Additional Fees