HomeMy WebLinkAbout06090084 Application
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City of Carmel/Clay Township Permit #:D/"CfI{)Ollf
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Stru,ctures
FLOOD ZONE AREA DESIGNA
FOR THIS PROPERTY:
N(S
X (W1.~~tuld)
TYPE 0fi:MPROVEMENT:
./
o NEW STRUCTURE
./ 0 ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
BUILDER
OF
RECORD:
NAME:
PHONE:
FAX:
8
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIlITY
PROVIDER: Cf 11 'D
NAME OF lJTILTIY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLI
TYPE OF CONSTRU
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
ON:
Which plumbing codes will be applied to the construction: :
o International Residential Code w/Indiana Amendments
I
o Uniform Plumbing Code wI Indiana Amendments
Early Release
Permit:
PROJECT INFORMATION:
-y~
-y~
Manufactured
Trusses:
sump Pump:
_yV;;
..k:::f _N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE /0 POST & BEAM _PIEy
o SLAB Q/llASEMENT(WALKOUT:_Y~
Lot Split:
For Single Family and Two FamiJ..".d.,wd~?~ip€s;;r~~,~ or-aed'e. 99'_structures, this permit is valid only if construction corrunences wi~ 180
days of the date of issuance of ti~gpe~~rlWgRt~t,,*l.'Wl!lpletil:@ '~ttllleite of Occupancy issued) within 18 months of the issuance date. C:1ass I
structure pennits are subject to~EritiiiJ.-)\QWliliuti:~t.iVl R\\la' ~Ii,~te of Indiana (See 675 lAC 12) regarding expiration time frames for beginnir-g and
of State and oc com . g~tion. I
I, the undersigned, agree that any ~~~tif>I\{!f:~MMr\J':N4~ ' )~atk1'rt'oy alt~ration of a structure, or any change in the use of land or structures
requested by this application will c:bit\fJJY With:'o\nd'c'onrOl;ID_lto'Fu-aPM'".1-bfJ'2WAJ:{fJ:mMU~of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993"I(Z'
289) and amendments, adopted qnq~ .-' 0 \<RN\~tq~~l A:sstrribly orthe Stat~ of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, b, or drains arH~n sanit At"Ublther certify that the construction will not be used or occupied until a Certificate of
Dee eyh.. hyth tofCo ,tUtyse~rJ7;dii"f54"f7;r +~S ~!~/o~
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OFFICE USE ONLY: *******************************************************~*7** ******************
INSPECTIONS REQUIRED: Filing Fees: ...:> ,
B I ct. ..;-tJ # Charged Re-
Lower Footin der Slab ase nspe Ions: . ~() Reviews ~
Cert. of Occupancy: 53. / j
P.R.I.F,: IcL C I 00 Additional Fees
f7' TO.JiAL' ,1 ~ 7fJ/
"IJu-'rtr ~U./lt:1ti< _.~~ F .
Fee Received by: Lt. I
Dept. of Community Services
S:Permlts/Forms/ILP RESIDENTIAL