HomeMy WebLinkAbout06120080 Application
City of Carmel! Clay Township Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
~ PHONE:
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OTY:
J'r
PROPERTY
OWNER:
NAME: '{;#ct
LOCATION
& PROJEC
INFO:
WATER UTIlITY
PR
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LANOVALUE)
'P.'\ !
NAME OF UTIlITY EXCAVA N CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUN1Y WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
,
,
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;,....) II
l:.-J I
. II
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TYPE OF IMPR VEM hT:
~
(S odfll-
o PORCH ADDITI (S) PI .
~D DECK ADDITION
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON &?
PROJECT INFORMATION: FOUNDATION TYPE: (Check all that apply for the new
~ Early.Release / Manufactured I / ~constructio~rea)
,$I ermlt: _Y 4N Trusses: _Y _N \",V.o'IS CB"CRAWLSPACE 0 POST & _ BEAM _PIER
Lot Split: _Y LN Sump Pump: REtEA.~{:t " CONS~\4~I~ BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, re ~rn 9,'~, ~r~~9IX~~~t is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must, be compl~tffi..._.'r(ar'rlIi{'ateO,'I!fI, , i'<'El',I!ffi'~tsYCthin 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative.a.ufn.o::\nft(3fit~(2H~ (S. 6.5~lal1 a?mtt~expiration time frames for beginning and
UO-~ ,jr.r" c':\ A,Y TOW SHII"'
I, the undersigned, agree that any construction, reconstructiS~~~g~hStJrron of a structure, or any change in the use of land or structures
requested . lication will comply with, and conform to, all appliCable laws of tW~~iana, and the "Zoning Ordinance of Cannel Indiana - 1993" (Z'
289 a amendments adopted under auth ity of r.c. 36,7 et seq, General Assembly ot the State of Indiana, and all Acts amendatory thereto. I further certify that only
chen, bath, and fl r drains ar n d to the sanitary sewer I further certify that the constructIon Wlll not be used or occupied untIl a Certificate of
Occupancy has eni"",uedb ntofCommurntyS s, el/?-diona 5""7ZI'A?1 /0-/~f
I ' Oate '
/
NLY:*************** **** *********** *****************
D', II -/1;' y Fili 9 Fees:
INSPECTIONS REQUIR V IcTv
Upper Footing Lower Footing ~~ Slab
(Roug~~et~rB~ 0
;\
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
A RE~~~NTIAL (For
~ Additions. Remodels. Etc.1
TAX MA~ PARCEl. -#.;
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
Cert. of Occupancy:
~~**~cf*******************
/t; G. sGJ
'5"'3.50
# Charged Re-
Reviews
P R I F ' Additional Fees
. " .. --()
C ~AL: ~~ ,5>
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Fee Received by: (,./
Date