HomeMy WebLinkAbout06010155-Application
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,City of Carmel! Clay Township Permit #: ~ / 0 'S' ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PHONE
FAX
d-3S'J
ZIp
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PROPERTY
OWNER:
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
SEmON
~
ZONING:
5/
SQUARE
FOOTAGE: /77()
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF IMPROVEMENT:
'0 NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
~ REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
) --
If i!:
\ 1
I
I
o
o
o
o
Which plumbing he construction:
"Q-Intemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Manufactured FOUNDATION TYPE: (Check all that apPJffor the new
Early Release ~ Q II
P"t Y T N construction area)
erml : russes: _ L~
- /.:') /'::-.. - 0 CRAWLSPACE 0 POST & BEA . (11",,/
Lot Split: _Y --w/ Sump Pump: ---6'V_N 0 SLAB ~EMENT l3Bntt tV I:5rIA
Does any part of the property lie within a special Flood desig~a~i~~ area: _ Y ~ WALKOUT:_ Y ~
For Single Family and Two Fanillf;d.wijIiin'is;Iddfii~Ar.ir~ci'b4~lk~apdt~f\ic"cF.SS9a \t~ctures. this permit is valid only if construction commences
within 180 days of the date oH~anC;;4 Q(t~tuqdingpeI:nili!~andlthtfs'{~I~tiMPl~t~d (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure penm. I.ts arljfub. ' ~~~b.l;Oi5.~e...;,Gt~~!~lAg.J1liixist... rative Rules of the State of Indiana (seell75 ~m. . .~.. ~itation
_.i:i}lle\J:al'le.for ~ing'anN'?eP~ng construct~QtI ','ll;.'"
I, the undersigned, agree that anyQbittu1ri~jrehJ'Asiliitti1h! billatg~mfht;idoc.\q% qJ; fll.teration of s ~f l\ili1i ~r'
sttucrures requested by rbis ap~fl1iR'I' ~~Wl'iLd tolif<ioll.eo, ;;nQ>plid~Dfe1IWS of the State a, an t e "Zoning Ordinance of Carmel
Indiana -1993" (Z~289) and amenChtiei1ts, adopted unaCf!~~pe:lWrt I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
eta. I further certify that only kitchen, bath, and flaM (jfaihs ire'dmnected to the sanitary sewer. I further certify that the construction will not be
u or occupied until a Certificate of Occupancy has been issu by the Department of Community Services, Carmel, Indiana. ~ /
J _'3/ /()~
s. nature of Owner or Authorized Agent Da .
OFFICE USE ONLY: **** * *** ******* ** ****** ***** ****** *** *** * * ** * ***.!:"** * ***;;t~*'!''': *9***** **
Filing Fees: -c; ~-Ol-:. () 6 r:x'?? J
INSPECTIONS REQUIRED: '
Base Inspections: / /J' 7. "' 0 # Charged Re-
ReViews
Cert. of Occupancy: S-l,()
Upper Footing Lower Footing Under Slab
~U9h In-=:> Meter Base ~ Si0
Additional Fees
c"'~~ f11~ 1-~ 3~ 66
Reviewed/APpro~d: Dept. of Community Services (Date)
S:Permlts/FonnS/IlP RESIDENTIAL