HomeMy WebLinkAbout07010028 Application
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c~~:;i:~\';, CityofCarmel/C/ay Township perrnit#a!]O IOOZg
, !A,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 lITIUTY
PROVIDER: Cf4
t;wlffJ.'
PHONE:
317-3.
FAX:
ZIP:
FAX:
ZIP:
SECTION:
V,O
ZONING: "'R I
.- -
I
WATER lITIUTY
PROVIDER: !vi! /,
,.,sQUARE--7",i71'
{ FOOTAGE:-7,...
ESTIMATED COST OF CONSfRUcrrON:
(EXCLUDING LAND VALUE) "/~
-71
~o
NAME OF lITIUTY EXCAVATION CONTRACTOR; 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 PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
Qlt RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATI01:
Early Release =V
Permit: _Y _N
Lot Split: _Y'
-.-,._-~"""-'
r,-;'~'-' I';~;'
TAX MAP PARCEL /i:---
7 T'IJ'fo.
PLUMBING CONTRACTOR: JAN
.f:.t 5,." fI, \ \.
Plumber's Indiana State Llcen~
_p tc./?'/tJtJ aD',)- I
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
Ill:! REMODEL
_ Basement Finish only
o ACCESSORY BUILDING 0 International Residential Code wi Indiana Amendments
o DETACHED GARAGE "". . .
o ATTACHED GARAGE~' , 'i'I Uniform Plumbing Code w/Indlana Amendments
o DEMOLmON VI'. J
'1 r D FOUNDA:nON TYPE: (Check all that apply for the new
Manufactured ' construction area)
Trusses: Ly _N 0 CRAWLSPACE 0 POST & BEAM PIER
Sump Pump: -.2LY _N 0 SLAB 1Q. BASEMENT (WALKOUT:_Y-X-N )
It- Sm~itt
Which plumbing codes will be applied to the construction:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences 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 St.ate of Indian~ (See 675 lAC 12) Q ara.rton time frames for beginning and
completing construction. l.....
I, the undersigned, agree that any construction, reconstruction, enlargement, re~o iO~~. s ' ._ . n m the use of land or structures
requested by this application will comply with, and conform to. all applicable la S . !~ oning Ordinance of Carmel Indiana - 1993" (Z.
289) and amendments, adopted under authOrity of I.c. 36~7 et seq, General Asse, t . n iana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further cer. that the construction will not be used or occupied until a Certificate of
Occupancyhas been issued by the Department of Community Services, Carmel, Indiana.
/oJ p. II+Ua... ~IJEL .P. III&4j
Sign~re of Owner or Authorized Agent Print
OFFICE USE ON LV: ***** * * * * * * ** * * * * * * * * *** * * *** * ~~* * ** * * * *** * * * ** * * *0 *-;** * *?b** * * ** * * * * *** * ** ** *
INSPECTIONS REQUIRED: Filing Fees: ~ .
. . Base Inspections: / II ~ 0
Upper Footmg Lower FootIng Under Slab . .>-:?:> ""-0
~ - Cert. of Occupancy: .>
R~~gh In ~ter Ba~~~al --y
P,R.I.F.:
I/'f~'
Dati I
# Charged Re.
Reviews
1-
Additional Fees
S:PermitsfForms/ILP RESIOEI'ITIAL
~.
Date