HomeMy WebLinkAbout06090091 Application
,;}~::,~''':~. . . flELEASED FOR CONS~~,!J~f!tiM . tJ{J1)Q OlJq'l'
" ,"'.- -'\""' CIty of Carmell Clay Townshtp Subject to compU",,,cr; wl1h,tH ;;",,,~!ii#. I
, RE~IDE~TIAL IMPROVE~NT HO'e~;n~~~:\fF;,~PLICA!ION
For Single Family, Town Home, & Two FamllyAt&Tsb\fc&, fJI:'ldiJ,ll:,i'O~S; R, e\\iodeJ,S' ,:~;}"''''''ssory Structures
, r.l t CLAY TOil\/N~HlV-
~~ILDER NAME: e..- ) 0-~ !~Y~A. FAX
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
L
BUILDER'S EMAIL ADDRESS:
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NAME:
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SEWER lJTIlITY ,r-'l _ ~ n
PROVIDER: ~~
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ZIP:
'160 3 ~
STATE:
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BEST METHOD OF CONTACT:
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PHONE:
FAX,
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SECTION:
ZONING:
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ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ClO-Afl
NAME OF lJTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIOENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_VLN
_V...!LN
o NEW STRUCTURE
o ROOM AODITION(S) . _~ PI m
~ PORCH ADDmON(s(>c..r"'"7
'0 DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
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TAX MAP PARCEL #:
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SLAB 0 BASE~ENT:(WAu(OuT:_V_N)
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For Single Family and Two Family dwellings, additions, remodels, and/or accessory structur;:e~.!.~lsit"rrn!tfs...v~4;9~Y TII;lIi~t~c\i9~\J?lmmences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of OC'f,uRwfyjss'tJed)_Urithin.18 months of the is~uance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (Se~ 675drC'12)~garding expiration turi~ fralnJs, for beginning and
I ' . 1" I ~ '" I"
comp etlng constructIOn. , \ U 1")f"1f\h \ \ \ . 1\
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alterati~l1 pf ~ ruct~cOt anf c~ngMn'the us'e\Qf.I~q or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Inqiap.l, ahd thtV~ning Ordinance of Cagnel Indiana -1993" (Z-
289) and amendments, adopted under authority of r.c. 36'7 et seq, General Assembly of the State of In(Iian~land all Acts amendatoI)'therefo. I furth\:r certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the constrU~Jion\\c!Lnot.be use"'do;- occupied until ~gt;}dficate of
Occupancy has been issued by the Department of Conununity Services, Cannel, Indiana. \ _..------.F~.--
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Signature of Owner Au z Agent Print' Da .
Lot Split:
TYPE OF IMPROVEMENT:
Manufactured
Trusses:
_VLN
_VLN
G CONTRACTOR:
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
o
~ POST & ~ BEAM _PIER
OFFICE USE ONLY: ******************************~~******~*************'JZI*".f********************
INSP- CTIONS REQUIRED: FIling Fees. /~/,
..------- . . Base Inspections: 7;::.. b '> () # Charged Re-
<;u~! Footing ower Footmg Under Slab !' . '/0 Reviews
~..-\ e Cert.ofOccupancy: ~3 L'
~gh In ~~eter Base F~nal Site ,
~ . _ P.R.I.F.: Additional Fees
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Fee ReceIved by: Date
Sump Pump:
: Dept. of Community Services
S:Permlts/FormS/IlP RESIDENTIAL