HomeMy WebLinkAbout06090130 Application
\\City ofCarmellClay Township Permit #: OV;(:/i()t1J.:O
WSIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
~r Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME OF UTIllTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BP61J)l)00>f ,
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND SEPTIC PERMIT #'S (IF APPU1:A
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FLOOO ZONE AREA DESIGNATION(S) ~ DEPT OF COM
FORTHISPROPER1Y: ~~i ~ CITY
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TYPE OF CONSTRUC1fdN,~ TYPE I ROVEMENT: PL
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.2"'SINGL~\F, , ItY' ~N CTURE
a- TOWN tfQ~ l\ ~~- RO AD ITION(S)
o TWO FA~~L C;~'? &. 0 CH AD ITION(S)
# of un v DECK A ION(S)
constru R EL
time: _ Basement Finish only
o RESIDENTI ACCESSORY BUILDING
Additions, Re DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
gllILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO,
SEWER lfTILITY
PROVIDER: t
NAME:
F'8q&4
(J{)
SS:
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BUILQER'S EMAlL ADDRESS: vnm {Q:Yld @ r
STATE:
ZIP:
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NAME:
PHONE:
FAX:
STREET ADDRESS:
D ooD
CI1Y:
STATE:
ZIP:
LOT #:
f
SECfION:
ZONING:
SQUARE
FOOTAGE:
ADDRESS OF CONSTRUCTION:
Q
Plumber's Indiana State Li
IOSL)O 9
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
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Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION,
Early Release
Permit:
Lot Split:
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VY_N
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ BASEMENT (WAlKOIJf:_yLN)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building permit, 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 I.c. 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
Occupancy has been issu by the Department of Community Services, Carmel, Indiana.
Pria' \1J1'\j1 GWCe.
~
Date
OFFICEUSEONLY:*********************************************************************************
F"II"lng Fees: /~()~ 3 0
INSPECTIONS UIRED: ~
(Upper F~ Lower Footin r Slab Base Inspections: ~/. :.-;
Cert of Occupancy: J
I d- 6 /. ;)()
"~3 7'6_ so
# Charged Re-
Reviews
\J
Date
Rough I
Site
Additional Fees
P.RJ.F,:
Dept. of Community S rvices (Date)
S:PermitsfFormsfILP RESIDENTIAL