HomeMy WebLinkAbout06030009 Application
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CityofCarmel/C/ay Township \))10' ~ Permit#: ~ ~O 3{)t)OI
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLIC.A!TION
For Single Family, Multi-Family, llt Two Family: New Structures, Additions, Remodels, llt Accessory st~uctures
PROJECT INFORMATION:
FOUNDATION TYPE:
Early Release ~ Manufactured;: construction area}
Permit: _ Y Trusses: C;X-:> N
6.. 0 CRAWLSPACE 0
Lot Split: _Y _ Sump Pump: _Y ~ ..{ZflSLAB 0
Does any part of the property lie within a special Flood designatio,(a';a: _ Y -W
BUILDER of
RECORD:
PROPERTY
OWNER:
~
LOCATION
llt PROJECT
INFO:
~ET ADDRESS
LOT #
SO
NAME OF UTILITY CAVA CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn' WELL AND/OR SEI'11C PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
~LY
~OWN HOME~<1Af
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PHONE
5 0735Q 3
';IlCk'rn
FAX
575-C;?3/
ZIP
03~
,
PHONE
FAX
CI1Y
STATE
ZIP
S~
ZONING:
~
85
DO
PLUMBI G CONTRACTOR:
=thvYl YY1~~:,,) .:r;z c.
Plumber's Indiana State License #:
(I P I DCf)C) J?5 }
Which plumbing codes will be applied to the construction:
~ntemational Residential Code wlIndiana Amendments
o Uniform Plumbing Code w IIndiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
POST & BEAM
BASEMENT ~
WALKOUT:_ Y_'-l\LJ
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 pennits are sub~ect to the Gen;~~Bi'F~. ~e 675 lAC 12) regarding expiration
tIme frames for Drriltiind com e In c.
I. the undersigned, agree that any construction, reconstruction, e ~,cfeftQm 1,~~~Mh i~ar~laUonany change in the use of land or
structures requested by this application will comply with, and conform to, aOt.~la.MWJ:bi ~(J:defSp.diana, and the "Zoning Ordinance of Cannel
Indiana - 1993" (Z-2B9) and amendments, adopted under authotif)l9llTlu_,~I~~~diana, and all Acts amendatory
thereto. I funher certify that only kitchen, bath, and floor ~M~e t s.AI1kary ~':"er.. I.l!~~~!.~~~at the construction will not be
or occupied until a Certificate of Occupancyhas been iWfel:ll,~ ItHil:fQf~Vitfg)W~, Indiana.
. c;f.a n I e.p lI\j~~u..-1-MrJ U; (' :;:z 1.;)74(,
Sig ture of Owner or Authorized Agent "nt Date
OFFICEUSEONLY:************************************************************************
e Filing Fees: (p ('Q t5).. ton
S~ECTIONS UIRED: ~11'.1 "."
,.' I I-' Base Inspections: I- ~ 'tp . S-O # Charged Re-
Upper Foo . '.'( ro ReViews
~ft Cert, of Occupancy: -5" 1'1, v
~ Si P,R,LF,: I)', 19 I t,;- () 0 Additional Fees
~TOTAL: jf ~~ 1U' Co ~1
_Jl# ~, 1....', ..a~
Fee Received b : -
Reviewedl Approved: Dept. of Community Services
S:PermIts/FormS/IlP RESIDENTIAL
(Dale)