HomeMy WebLinkAbout06100033 Application
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City of Carmel/Clay Township . Permit #: CJ{g I 00033
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:
SEWER UTILITY {'\,
PROVIDER: V'
IS~'1 (12.2. FAX:3ntfl
herS STAIN
BUILDER'S EMAIL ADDRESS: f..:;
SShe..m \ €XeLA-rtlJ'eho{'(\cs.
NAME:~h
C~e-l
,Aft
SECTION:
SU~YV\or€ ~
Al3rF cONSTRumr Dod .Lx:, v 0
CU1ne- \
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
~time:
...z:r RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
~Yt N
~yIN
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
..0'REMODEL
~asement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
Sump Pump:
_Y~N
A-Y _N
ESTIMATED COST OF CONSTRUCTION:
(EXC,LUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / aZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
Early Release
Permit:
Lot Split:
r. t:l t:
CLAY TOWNSHIP
PLUMBIN
~ I
Plumber's Indiana State License
i (\S~r0
Which plumbing codes will be applied to the construction:
o International Residential Code w IIndiana Amendments
.~niform Plumbing Code wjlndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB 4 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
dRYS of the date of issuance of the building pennit, and must be completed (Cenificate of Occupancy issued) within]8 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 constrUcdon.
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, <lnd conform to, all applicable laws of the Sta[e of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993n (Z~
289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I 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
Dccu ancyhas been ',"ued b the Departmen~ of Community seM~eS~:tr~;rs \'em t \ \ 0 I 4-1 0 Co
Print Date
OFFICE USE ONLY: ************************** * ***************************3* ************************
INSPECTIONS REQUIRED' Filing Fees: /3 ' -S'o
U F t" L F t un'der Slab Base Inspections: / I I ' tJ 0
pper 00 '"g ower 00 ing r
Cert, of Occupancy: 5".~' '-.,) 0
~I~ Meter Base ~ Site
~ Od- P~"'/~~~L' ~'3'(n. OO-"~'-
Reviewed/Approved D ,ofCommunilyServices (Date) ~ ~W'--
S:Permits/Forms/llP RESIDENTIAL Fee R celved by: Date
~
# Charged Re-
Reviews