HomeMy WebLinkAbout06080099 Application
City of Carmel/Clay Township Permit #: 00oS? oo1Q
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
~ "'I-OJ)
ZIP;
Y (, '<l
FAX:
SECTION:
ZIP:
?J :3'
lZONING~",'
t? f>
SQUARE , ))'1 -:
FOOTAGE/ t<.5 .
ESTIMATED COST OF CONSTRUCTION: ,r L , . -
(EXCLUDING LAND VALUE) , 2I 0._ f!!e "
j ,., 'j is=' 0- [e:? n '\\// i ::c:; i "'.\!
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UG 1 8 2006 Illi j Ii
SEWER UTIlITY WATER UTIUTY
PROVI~~~":~: . : . ~j~~'>Lp:'~_:",~:>. : ~~ ,"-JFZ,-~::."" r:: 7~?YJP~~:\~.. ,;~,:"f;,7i.I:1~>~"'<"~
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT "5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
)Zl RE 00
asement Finish on
o
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMoLm,.
:8~..,C.,~
Trusses:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMJL Y
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y_N
REbSASEDr-fOR OO~1i-lil
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Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & _ BEAM _PIER
o SLAB !lJ BASEMENT (WALKOUT: Y ........... N )
For Single Family and T~~m~w.w~ odels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issu~FP Qqijdjp.,Il~~, ~~~J7qpleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structurepe~I:tBjddft l'i~~tzd~duhiS'tf!m\.~'kU"(esor:~StateOfIndian~ea5 I~e' a '0 t' e~amesforbeginningand
CARMEL] CUW TOWNSr.lIdpIetingconstru ,',
I, the undersi&JnJJ ~at any constr tor nstruction, enlargement, relocation, 0 . -ust.2f land or structures
requested by this application will com~tn~~on to, all applicable laws of the State of In lana, an t e ~ onmg 0 mance 0 Carmel Indiana -1993" (Z'
289) and amendments, adopted under autho. of 1. 6 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor d I onnect t th ani 17 sewer. I further certify that the construction will not be used or occupied until a Certifica.te of
cupancyhas been i Dep of C unity Services, C e a.
Print
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. F'I' F 3 'SO
INSPECTIONS REQUIRED: ling ees: ,'If! . ([0 .
Upper Footing Lower Footing Under Slab Base Inspections:
Cert. of Occupancy: ~ ,)0
00;g~ Meter Base (!';'na!) Site
P.R.I.F.:
g"~3-c(,
ved: Dept. of Community Services (Date)
S:Permits/FormS/ILP RESIDENTIAL
Fee Receive by:
5'-:./7-0,6
Date
# Charged Re.
Reviews
Addibonal Fees
(jO
r;' -.) S:tJ r.,
Date