HomeMy WebLinkAbout06030010 Application
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City of Carmel/Clay Township \)l- ~ Permit #: D& 0 300 fO
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of ~ l+
RECORD:
PHONE
:575
PROPERTY
OWNER:
PHONE
FAX
OTY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
,
s
ZONING:
SQUARE
FOOTAGE: d117
WATER UTIjdT'I)
PROVlDERLCti'
NAME OF UTILITY CAVA CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
ESTIMATED COST OF CONSTRUCTION:
ClUDING LAND VALUE) /3 7
TYPE OF CONSTRUCTION:
o SINGLE FAMILY k
.::s-tOWN HOME7lf (,
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 DEMOLITION
PL~G CONTRACTOR:
Plumber's [~.:: s~ac~se #:
C:PICCOO (ZJ /
- Manufactured 6 FOUND~TION TYPE:
Y (" T ,.--.". N construction area)
IiILJ russes: Y;
- -.:A ~ 0 CRAWLSPACE 0
Lot Split: _Y -u Sump Pump: _Y ~ SLAB 0
Does any part of the property lie within a special Flood designatio.(;.~a: _Y
PROJECT INFORMATION:
Early Release
Permit:
Which plumbing codes will be applied to the construction:
~temational Residential Code w/Indiana Amendments
o Unlfonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the: new
POST & BEAM
BASEMENT ~
WALKOUT:_ Y-----d!)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is Valid~construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Dc - within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the S . ~ 12) regarding expiration
time frames for beginning and comple..!i~ n. n 0.\\ fa
I, the undersigned, agree that any construction, reconstruction, enlargemen~, relo . ~t :~~cb.~~aRmY t~ the use of land or
structures requested by this application will comply with, and conform to, 5;~~!R'e~W.'$~~~~St\~~rdinance of Cannel
Indiana -1993" (Z-289) and amendments, adopted under authOrity of I.e. 36- ~\! ss.m\.b'fy, pl~nt'itH> ~1iDi'1ll Acts amendatoty
thereto. I fumer certify that only kitchen, bath, and floor drains are connect't6& s~ y ~I\.i~~r~ ~\ '\Ithe construction will not be
or occupied until a Certificate of Occupancy has been iss by the Dep CeiIr'~WJjty $6, Carmel, Indiana. _
- P.W....- p.. '1'- . / /
. VII V\ \ U ~ 2. 7f'Yb
Si nature of OWner or Authorized Agent Date
OFFICE USE ONLY: **************************************** ********************************
t Filing Fees: la'1~. ~O
INSPECTIONS REQUIRED' f .-, Z
. . . .; 13 Base Inspections: ACt;. cO # Charged Re-
Upper Footm Lower .Footmg r-/ ~ A"l Reviews
~_ Cert. of Occupancy: oJ _ . .....J v
/"'Rough-In Me r B / ., 1,/ ' A:1 0
~ P.R,LF,: ~~_ C7 Additional Fees
c4T TAL:~' ~1S'I. ~ 9n
~a-^a~ ___I 1-.\ _~
Fee Received by:
(Oate)