HomeMy WebLinkAbout06120052 Application
City ofCarmellClay Township Permit #{)6J~5:L
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
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PHONE:
FAX;
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STATE:
ZIP:
ZONINCj:
6/
SQUARE
OTAGE; f'g3 d
ESTIMATED COSr:OF\CON. srRU~: ".
NG LAND VALUEr' ; :If'13. 7..../
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Plumber's Indiana State License #:
{!~ / {)LJtJd/ej I'
VA ON NTRACTOR; PLAN COMMISSION J BZA I BPW DOCKET
R COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTIO
asINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
For Single Family and Two F~1iih.." .' '.. '." ~ e s. and/or accessory structures, this pennitis valid only if construction commences within 180
days of the dat~ of isw~~ b~l~ ,.. ~e.~~be c eted (Certifi~ate of Occupancy issued) wi_thin 18 ,mo?ths _of the issuance da~e. ~lass I
structure perrnftl.if~l$'\"e~~'rreiil~Wat- e tate of Indiana (See 675 lAC 12) regardmg exprratlOn tune frames for begmrung and
",,,b\\I<l\ .~' tate afl ",\1'< S . g ,"n,<ruetion.
_ I~:.the undersignecr,agree th.__a.f.1\i . ~~._~ U~~ps~~~ ent, relocation, or alteration of a structure, or any change in the use of land or stru.ctures
requested by this applica', ~?>.li:y, a ~ to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 199J" (Z-
289).a~d amendme~;t J~:~2l:nJ.'\ ~-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further cernfy that only
. . ;~,,?ath, an~ ~I , 6'(ie~A},~ftary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Decu ey,h.., be\ii by th, D,part\,-:';;-t of Community s'gel. Indiana. .
.'. ... '{1IC-€ ~+:-elJ~OUIC J.;L/13/0v
P: nt Date
Early Release
Permit:
Lot Split:
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OFFICEUSEONlY:*****************************************************~**************************
F"I" F <;?'! ;;;I J- 0
INSPECTIONS REQUIRED: ling ees: 1)./
l!fpper Fo~ti;) ~wer Footirj? Under Slab Base Inspections: c;2 ::.. ) .::..~
.t::..:"'~~ . ~ Cert.ofOeeupancy: S 3. .:>
~. ~ ~ P.RJ.F.: /l 1/
- 2,
ommunity Services (Date)
~
S:PermitsjFormsjILP RESIDENTIAL
TYPE OF IMPROVEMENT:
~ STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
Basement Finish onlv
o ACCESSORY BUILt"
o DETACHED GARA'
o ATTACHED GARA
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
LLN
Ci~N
~hich plumbing codes will be applied to the construction:
~ntemational Residential Code wjIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYP~. ,(t;: ec~all th t aPl\ly for the new )
construction area)U, tj ~~""-7L
o CRAWLSPA E 0 PO & _ BEAM _PIER
o SLAB ~ BASEMENT (WALKOUT:_V--40)
# Charged Re.
Reviews
Additional Fees