HomeMy WebLinkAbout06100031 Application
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City of Carmel/Clay TownshiprnNnITIf'\L\tA Permit#: OLe /DtJ031
RESIDENTIAL IMPRO~NT"tO~N'kRMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME:
JUILDER
OF
RECORD:
PROPERTY
OWNER:
STREET ADDRESS:
5
LOCATION
& PROJECT
INFO:
SEWER UTILfTY
PROVIDER:
FAX:
PHONE:
- e/' r;
e. \"'''._IIC.
.
e,/Yl a
FAX:
ow
looV~ .
STATE:
ZIP:
SECTION:
:t--
ol
SQUARE Cl' rf
FOOTAGE: -, 138'
ch.e.L s
tJO Dob
?E~~
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NAME OF LfTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNlY WELL AND/OR SEPTlC PERMIT #'S (IF APPUCABLE):
C- .
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY;
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
/cJ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc,)
PROJECT INFORMATION:
v'
_Y ---if""
_Y_N
Eariy Release
Permit:
Lot Split:
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o 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
Manufactured /
Trusses: _Y ~N .
Sump Pump: Ly _N
TAX MAP PARCEL #:
PLUMBING CONTRA~
Lt; IndC {Jte Licen:;:n
).J) A<?51 g' 7
Which plumbing codes will be applied to the construction: i
~emational Residential Code w/lndiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~MENT (WALKOLJT:_Y ~
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 1
structure permits are subject to the General Administrative Ruled~~Knftl~See:N~fZtl.1@iflJ€)N:piration time frames for beginning and
~~'trl>Rtlon.. I ti
I, the undersigned, agree that any construction, reconstruction, enl~Jaj.e((t-JlQ:atQ,[l~ I:iftf\CSfroWb\fa AAE~bY~~~ange in the use of land or structures
requested by this application will comply with, nd conf to, all applicable 1~$ij:BOC6r.re:Qf1lndtadaG:mrM'iS~Zoning Ordinance of Cannel Indiana - 1993~ (Z~
289) and amendme do t ncler authont of I C 0-7 et seq, Gil\.~~!(ly p( ~~&~!\t,lrPf ~n~h!lY, ~d:-lti~~datory thereto I further cernfy that only
kltchen,b:; ~i ora, a :~~c::; e:~~:v;;r~~2~~"UPleduntl~;1~
Owner or Print Oat! I
Upper Footing
Rou h In
Reviewed/Approved
S;Permlts/FormS/ILP RESIDENTIAL
Site
Services (Date)
Fee
# Charged Re-
Reviews
Addi~nal Fe~.
cJ.I7 1"1_ '\'W!ct.:,<,
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Date