HomeMy WebLinkAbout06110061 Application
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City of Carmel! Clay Township Permit #: tk II tJO (n
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAMt
-
J
~Ws
BUILDER'S EMAIL ADDRESS:
LOT #: / SUBDIVISIDN N~aJ 0
A3bliSTRucno : cr
WATER UTIlllY
PROVIDER:
SQUARE //_
FOOTAGE: /~
ESTIMATED COST OF CONSTRUcnON;
(EXCLUDING LAND VALUE) U( dad
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
It
flOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
rIf' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
'.
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_yLN
_y VN
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ...ROOM ADDITION(S)
~PORCH ADDmON(S)
[J1J 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: _y LN
TAX MAP PARCEL #(
/
PLUMBING CONTRACTOR:
nJV6
WhiCh plumbing codes will be applied to the constl'"uction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wfIndiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & ,./ BEAM """-PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences wi~ 180
days of the date of issuance of the building ~rmit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pecgNJJII~.. e ules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction. I
I, the undersi , a t t n n,. 0 t ion, en argement, 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 LC. 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 sanit sewer. I further certify that the construction will not be used or occupied until a Cerali te of
Occupancy has n iss by the Departme Commurut . ces, Cannel, Indiana.
Meter Base
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Filing Fees: / S ,7?
. /cJ
/b(,.:;c
, 5'"3. .JfJ
II,
Do
Base Inspections:
# Charged Re'
Reviews
Si~
P.RJ.F.:
Cert. of Occupancy:
Additional Fees
.9-r'
ReviewedjAppr ed: Dept of Community Services (Date)
S:PermitSjFormsjIlP RESIDENTIAL
3 ? 3, '7?
Date