HomeMy WebLinkAbout08010093 ApplicationCity of Carmel/Clay Township Permit #.4090/0093
RESIDENTIAL MOROVEMEENT LOCATION PERMIT APPLICATION
^NA , For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:
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LC C?f??i?P
C PHONE: C FAX: c
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RECORD: STREET ADDRES
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SC ' - L:A.SR_kA1 14Y k CITY: STATE:
-T-ND L.S -i /\J ZIP:
A16 Z 493
BUILDERS EMAI L ADDRE
' BEST METHODOF CO ACT:
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Ct I it?S
PROPERTY i NAME: PHONE:
OWNER:
STREET 0.DDRES
I I W ?: _ ,
OD ri<Lb , ? IP_CLC C9: STATE: N
.491110- ? C 3
LOCATION LOT S' SUBDIVISION NAME:
' SECTION:
L ZONING:
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& PROJECT \N
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INFO: ADDRESS OF CONSTRUCTION: SQUARE
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FOOTAGE:
2__
I
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: n ?-,?/?
` PROVIDER: j (EXCLUDING LAND VALUE)
CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET I
NAME OF UTILITY EXCAVATION
AND/OR COUNTY WELL AND/OR SEPTIC PERMIT *S (IF APPLICABLE): N A
NUMBERS
TAC DATE(S)
; ;
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PAR A^1
FOR THIS PROPERTY:
O SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
J time:
tJ RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
?f NEW STRUCTURE
C?1 ROOM ADDITION(S)
O PORCH ADDITION(S)
? DECK ADDITION(S)
? REMODEL
_ Basement Finish only
C ACCESSORY BUILDING
O DETACHED GARAGE
C ATTACHED GARAGE
C DEMOLITION
PLUMBING TRA
rmi? _1J C
w'ui wv'wwW ft 9b/NG -rt
Plumber's Indiana State License #:
C c' 2 fL 02-13
Which plumbing codes will be applied to the construction:
? Inte??t1iona, l ,Residential Code w/Indiana Amendments
l?Un•Illllr "tfi0T,ede w/Indiana Amendments
new
Early Release Manufactured
Permit: -Y XN Trusses: Y XN Gl7 0 POSPl ` - Bf`II S PIER
Lot Split: -Y ?N Sump Pump: Y /? N ~r' r
- ? ? SLAB N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid o'nTTyffbohstrucrion cof *%W o?kithin 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 pennits are subject to the General Administrative Rules of the State of Indiana (See 6751AC 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 o: land or structures
requested by this application will comply Hrith, 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 scq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
Idtchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a 0_-r -cate of
Occvpan y, has been issued by the artment of Community Services, Carmel, Indiana. /J 1 7-7 hkk;STe&l '/ /+/OR 0M 1 li u Di3
Siena or Owner or x print Dabs
**************************************************ss*
OFFICE USE ONLY:
PECTIONS REQUIRED: Filing Fees:
Base Inspections: -7,)1 , Ja # Charged Re-
r Footi Lower Footing Under Slab Reviews
Cert. of Occupancy: -55-50
Rough In Meter Base Fina Site
P.R.I.F.: Additional Fees
A, 4:50
ed/ ed pt. of Comm Services (Date)
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