HomeMy WebLinkAbout07010038 Application
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City of Carmel! Clay Township permlJ/7 tJ / {JO 3 3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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FAX:
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PHONE:
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BUILDER
OF
RECORD:
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STREET ADDRESS:
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BEST METHOD OF CONTACT:
FAX:
PHONE:
PROPERTY
OWNER:
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050
STATE:
ZIP:
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ZONING: S - )
SQUARE
FOOTAGE: \ ~D 0
SECTION:
LOCATION
& PROJECT
INFO:
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ADDRESS OF CONSTRUCTION:
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ESTIMATED COST OF CONSTRU
(EXCLUDING LAND VALUE)
WATER UTILITY
PROVIDER: ~~L-
SEWER UTILITY
PROVIDER: cp'\\'iY\G \..-
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TAX MAP PARCEL #'\ ~= /:-:::- ~, rl '\' fi ---
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FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
1/11
PLUMBING CONTRACT~~;
'"' I \ 'i JAN - 5 2007
Plumber's Indiana Stateli.icense :
~ 688 OOd;t~~--
Which plumbing codes will-beapplied'lotheconstruction.
o j,Ptemational Residential Code w IIndiana Amendments
~ Uniform Plumbing Code wI Indiana Amendments
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
O/b;:CK DDmON(S)
aff RE DEL
Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
TYPE,OF CONSTRUCTION:
rIf SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
rJtf RESIDENTIAL (For
Additions. Remodels, Etc.)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPA~ 0 POST & BEAM_lJIER
o SLAB rei' BASEMENT (WALKOUT:_Y 7 N )
PROJECT INFORMATION:
_Y~
_Y~
V;;:
.h=N
Manufactured
Trusses:
Sump Pump:
Early Release
Permit:
Lot Split:
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 pennit, and must be completed (Certificate of 0 u cy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the l.Il, . C 12) regarding expiration time frames for beginning and
I, the undersigned, agree that any construction, reco~ n, e.. 1 ~ a on 0 a structure, or any change in the use of land or structures
reque"ed by this application will comply with, and c .; aws of the State of Indiana, and elie 'Zoning Ordinance of Carmel Indiana - 1993" (Z-
289)~nd amendments, adopted under authority ofl.C. ~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitcH fl, 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 cy has beeIJ. issued by the De artment of Community Services, Cannel, Indiana.
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Print
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Date
OFFICE USE ONLY: ******************************~~************************~**~******************
INSPECTIONS REQUIRED: FIling Fees: / -3 3,
. . Base Inspections: /1.1 ' (] () # Charged Re-
Upper Footmg Lower Footmg Under Slab ' y""' /l Reviews
r n. ~ Cert. of Occupancy: , ;;:; , ;;;, (/
~ough I~ Meter Base rFinal Site -:>
~ ~R'I.F': / Additional Fees
C. J~TO~TAL:," # ~,Y:r. 10
Reviewed/ App Dept. of Community Services "
S:PermltsjFonns/ILP RESIDENTIAl Fee Received by: Date