HomeMy WebLinkAbout06080087 Application
City of Carmel/Clay Township Permit #nUJ8tX587
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
FAX:
,31]-T8-99f
ZIP:
LIi
STATE:
/Vo
C'--
, y..,
PHONE:
BEST METHOD OF CONTACT:
PJ1~
PROPERTY
OWNER:
FAX:
STREET ADDRESS:
Drive N
CITY:
STATE:
jAJ
~ZIP'fbO~
({ l'y .0_
s:-:-
ZONING:
fu
LOCATION
&. PROJECT
INFO:
SUBDIVISION NAME:
~ ex::6.
SECTION:
IJ
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERlY';
'\,ln~h ac{~)
J\\. ~f~ It-.J
Ca: - I ESTIMATED COST OF CONSTRumON#;::( Ji'(~-;;;:b
'Y"M<::..l (EXCLUDING LAND VALUE) ~?101;.~""\ ' '
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TAX MAP PARcE("#:~, ',:;,;.:./ \\
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PLUMBING CONTRACT
'\
Plumber's Indiana State
SEWER UTILITY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME ('I'
o TWO FAMILY 11,\
# of units being
~ ~%,=~ructed at this
RESIOENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
o NEW STRUCTURE
;0 0 ROOM ADDITION(S)
x.. PORCH ADDmON(S)
~ DECK ADDmON(S)
o REMODEL
_ Basement Finish only,. VI'
,,-ACCESSORY BUILDING~o-~\
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Which plumbing codes will be ap
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
Early Release
Permit:
Lot Split:
Y VN
y,~
Manufactured
Trusses:
Sump Pump:
Y VN
Y VN
FOUNDATION TYPE: (Check all that apply ~t!'.' new
construction area) --l~
o CRAWLSPACE p( POST & ../ BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_ Y _N )
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 pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 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 of land or structures
requested by this application will comply with, 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 J.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. J further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
occu~~artmentofCOmmUnityserviCS~:~6(Ja rtJ 'ci I (~IO '1
Signature of Owner or Authorized Agent Print DatEl
OFFICEUSEONLY:*************************************************************** *****************
~FT F
INSPECTIONS REQUm..~SED F dN~T~1kTION
er Foo . wer Footing>ul:VffileP SfijfjlP ~illl't aU~~@6;,s ~ ' K"O
=01 State ana L~IlfJ~cupan9:: v:5.- .......J
f"~OMMUNITY SERVICES
CI F CARMEL / 8tW'tOWNSHIP ~
INDIANA( ~\ 15. 3c/l.
(Date) ~~ ~.
# Charged Re.
Reviews
Additional Fees
?i
Fee Received by:
Date