HomeMy WebLinkAbout06090132 Application
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TYPE OF CONSTRUcnON: ..---:-~., PO..l
~ ~-~ 0,"'\11 \~
SINGLE F~MILV", (r~ \2c' I., .~~.
TOWN HOI'IE V,; I~;!'._::;?--- ~ RO
o TWO FA~iLYI r::-- 0 PO'
# of uhits:~eing I) ?~()OE
constrilcte.d,aUhill.C.? '2. u RE
time: 111\,1 v-.
o RESIDENTIAL {For
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Additions. RemOdsIs.-
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,
PROJECT INFO
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
Eartv Release
Permit:
Lot Split:
City of Carmel/Clay Township Permit #: dltloGJ 0/3J-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
ATE:
FAX: 7J4; -fjJ!J.
'1(; Z(jtJ
FAX:
STREET ADDRESS:
eI1Y:
STATE:
ZIP:
LOT#:
ZONING:
31
nt Finish IV
ACCESSOR BUILDING
D GARAGE
ATTACHED GARAGE
o DEMOLITION
International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM I PIER
o SLAB ~SEMENT (WALKOUT:_Y ~
Y~
Y~
Manufactured
Trusses:
Sump Pump:
./
_Y_N
......v_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit 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 Cannel Indiana -1993" (Z'
289) and amendments, adopted under authOrity of I.e. 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
Occu cYhasbeen:" bWepartmentofCOmmUnityservim.~.Indiana. ~ (cl/J 9 'a5.6~
ror Authorized Agent ~ Date
\DL~
Reviewed/Approved: Dept. of Community Services (Dale)
$:Permits/Forms,!ILP RESIDENTIAL
Under Slab
# Charged Re-
ReViews
Meter Base Final
Addilion~1 Fees
P.R.I.F.:
Date