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HomeMy WebLinkAbout06110031 Application City of Carmel/Clay Township Permit #: I)(P 111)1) 6) RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures CITY: STATE: G.r11A i r--';-~-.___, - BEST METHOD OF CONTACT: ;/n) r.f.'O'-;;~-....... _ '( '/rti.LEDh':' (i"---, ;:--~.. r ~ !,II_/ I; ---";"::"...'::..":3 II VlpHiJNE';:.:---, In / -~":"'""::?, ')! For Single Family and Tf!!i~~W A'f"t:J4ngsl4:~i~!lh.r~m-pdels, andlor accessory structures, this pennit is valid only if construction commences within 180 days of the date of iss~-litJU{nf:PJdi'li~rJbablQiJ"~ertificate of Occupancy issued) within 18 months of the issuance date. dass I structure pennits are s~~~&PhE;8f ~f6tisof Indian~ (See 675 IAC 12) regarding expiration time frames for beginning and of State and L I f" ,n f;';"'Pletmg constrUctIon. I, the undersigned, agre~ ~cp.Q.jt.rq,k.t}Q.nli ~consR9!t oW; Qr!I~f!ment, relocation, or alteration of a structure, or any change in the use of land or structures requested by this applicatlrd~llc&ij)lyWiW,lwM4J~ <6:iRVJ:€.f the State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993" (Z~ 289) and amendments,~eFreJ!\P,t .C, ~1 eA~~.Bl1} of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floord~ln; are abi~er.t :Hty~ that the construction will not be used or occupied until a Certificate of Occupanc en issued the Departm 'QDtA1P6A.nity Services, Cannel, Indiana. ;:::l -<..(""r '-' \{ LL. q\o.J Print \.. SE :****************************************************~****~********************** INSPECTIONS REQUIRED: Filing Fees: //rJ ~ ./() , Base Inspections: ? ~ ;;; C1 0 # Charged Re- d ReViews rt. of Occupancy: S3 . S 1cJ.... ~(. dO c27-Y~o II ~ BUILDER OF RECORD: STREET ADDRESS: t..,j BUILDER'S EMAIL ADDRESS: PROPERTY OWNER: :r NAME: -c.... STREET ADDRESS: LOCATION & PROJECT INFO: SEWER lJTIllTY PROVIDER: w -\- NAME OF UTILITY EXCAV TION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; TAC DATE(S); AND/DR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPER1Y: ; uS TYPE OF CONSTRUCTION: f1!i SINGLE FAMILY b TOWN HOME o TWO FAMILY # of units being constructed at this time: o RESIDENTIAL (For Additions. Remodels. Etc.) TYPE OF IMPROVEMENT: ~EW 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 PROJECT INFORMATION: Early Release Permit: Lot Split: Manufactured Trusses: Sump Pump: _VLN ~V_N _V iN _VLN Signa re of Owner or Authori Agent OFFI wer Foo ;' =--, ~ l'iinal der Slab , Site S:Permits/FormS/ILP RESIDENTIAL PHONE, FAX: s;,..... i3 ZIP: ()yz- FAX: STATE: ZIP: SECTION: ZONING: ( SQUARE FOOTAGE: ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) 000 \ q r:;o:::rJcO Which plumbing codes will be applied to the construction: o International Residential Code w/Indiana Amendments ~niform Plumbing Code wI Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) o CRAWLSPACE 0 POST & , BEA~ PIER o SLAB 0 BASEMENT (WALKOUT~V_N ) ~ Addibonal Fees