HomeMy WebLinkAbout06120109 Application
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City of Carmel! Clay Township /jJ RI €Y- 13 TV Permit #: tlo 1 dO Lg<!f
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
BUILDER'S EMAIl ADDRESS:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
&. PROJECT
INFO:
LOT#:
t4-
SUBDIVISION NAME:
WI/0fJ.J.O
PHONE:
'l1f'
STATE:
ZIP:
b ex{ c..
:;.
ZONING:
SQUARE 7
FOOTAGE: '3 is
SEWER UTILlTY l..W ~"';'/
PROVIDER: Lt< fJ.-v.-. t2-L--
NAME OF UTILlTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT "S (IF APPllCABLE):
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction conunences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction,
I, the undersigned, agree that any construction, reconstruction, enlargement, 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 I.c. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto, r 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 Certificate of
Occu -has been issued by the Department of Community Services, Cannel, Indiana.
'70 ~lfu€
Print
OFFICEUSEONLY:*********************************************************************************
INSPE N5- IRED" Filing Fees: / J ,J.. CJ... ,1L'
~ooti -> U~der Slab Base Inspections: d-]1 ~~
Cert. of Occupancy: 3 i ::>
P.R.I.F.: / ;;z & / , tb Additional Fees ~
~~/c21P!.r()/ jI
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUcnON:
to- SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Earty Release
Permit:
Lot Split:
_y LN
_Y AN
Sig
{VDl
(- !-Of) 0
I....,
TYPE OF IMPROVEMENT:
}if. NEW 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 DEMOUTION
Manufactured
Trusses: _y-AN
Sump Pump: ~y _N
S:PermltsfFormS/ILP RESIDENTIAL
Site
Fee Received by:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING lAND VALUE) 7 () 0 ,)
S'l~LJ f3 e€-Tf~)4q~, ll; A::,tiJ
'ii
_ . e TAX MAP PARCEl!.:
ZCJY\Ft::..-. i:r~~!
'Il iiI
PLUMBING CONTRACTOR:
( ~!1-1 L ,i"{,..u Mf51 ^:JI,
P,!,'f~ber's Indiana State License #:
r!.Y fa') -t?O '52/
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
~ Uniform Plumbing Code wI Indiana Amendments
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FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIEY
o SLAB ~EMENT(WALKOlJT:_Y L.-11)
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