HomeMy WebLinkAbout06110124 Application
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City of Carmel/Clay Township Permit #:tJl..!iJ 0 /d~
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 UTIlI})'1L
PROVIDER: L.-- A-
NAME:
l? e..~t- 'B
s
. C<> >'^-
NAM I J
/' of- ;t-!t'ldLll
STREET ADDRESS:
13331- 8d/5t..;,..
LOT #: __
o
L8""~
SBDIV,-~ 1f~~
~
WATER UTIllTY I.J .~, J
PROVIDER: c.. ftI. fl}o(/\........
PHONE: FAX:
~I [, ""5/1- 'IIS"-/.)
CITY: STATE: ZIP:
h" S .:TA.! "Ik/J
PHONE:
31"1-- 1-5"5-/21
FAX:
14
CITY:
t{)es 'eld
STATE:
J-.I\J
ZIP:
'I-~
SECTlON:
ZONING:
eJdrCijJ~7jt;b'fc
SQUARE
FOOTAGE:
/iff
; 'I f I ' c" ,--:',/ ~ '----, ': ;
ESTlMATED'COSf'QF'CONSTRUCflON:"_ .
(EXCLUDiNG LAND VALUE)~ 2.),) "
"~., I 'I' ....000
1111 i I NOV 2 7 2006 I;! I II
,II Ii Ii! III
I. \, ,,' r.
[. TAX'MAP'PARCEL-#:--_..J ~-" i~
- . I
NAME OF UTIllTY EXCAVATION C RACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERlY:
TYPE OF CONSTRUcnON:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
~ REMODEL
..x.. Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
_V ~ /Trusses:
_V -Y Sump Pump:
-AV_N
-X.-V _N
~
Which plumbing codes will be applied to the constr-uction:
o International Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
o SLAB ~ BASEMENT (WALKOUT:_V-x"'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, an. d must b. e C_I ... d. ertificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Admin~' 'la. .. Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
MU onstrUction.
I, the undersigned, agree that ~nA .. .. -. 0 e ement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application wiJ,L<:;g,mp}Yr!&Idi. < nform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993~ (Z~
289) and amendments, adopted uride~ aUthority of r.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 Certi/icate of
Occupancy has been issued by the Department of Community Sei . ces, Carmel, Indiana.
/.
g;3. ...e- -I- I .'W<I
Signature of Own or Authorized Ag t
go
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Da~
Print
OFFICEUSEONLV:*************7*****L:Ct******* ~**************************~***:;*****************
INSPECTIONS REQUIRED: fJ 1 \. ~ ling Fees: /'?-y? '\ 0
. . J 1 ase Inspections: / / I fO # Charged Re.
Upper Footing Lower Footln Under Slab ' " /') Rev'ews
Cert. of Occupancy: SJ. .J (
@U9h..!lJ') Meter Base
P.R.LF.:
J 1-
Reviewed/Ap roved: Dept. of Community Services
S:Pefmits/Forms/ILP RESIDENTIAL
(Date)
~
Fee Received by;
Additional Fees
Date