HomeMy WebLinkAbout07010037 Application
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City of Carmell Clay Township per~7 0/ 003 7
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 UTlUlY
PROVIDER:
NAME:
STREET ADDRESS:
LOT #:
(J
PHONE:
FAX:
cm:
STATE:
ZIP:
SECTION:
ZONING:
SQUARE
FOOTAGE:
'fJi/6
tm
ESTIMATED COST O.F. C. ON. STRUcrrON: _ll <'70
(EXCLUDIN~LAND.vALUE)___ VS (I
NAME OF UTlUlY EXCAVATION CONTRACfOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR cowry WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
RUCTION:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc.1
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y ./N
_Y -lLN
TYPE OF IMPROVEMENT:
'Iso-" NEW STRUCTURE
ra ROOM AODITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
II (I
TAX MAP'PARCEL #: ' J
iii III JAN - ~ ?i1n ili
,'I{ Jlt ::'
PLUMBI~c,q~NT CTOR:~. ;'1
rt1~~iu--- ,'_J,
_oo~ "'.00 rar771'~=i
Which plumbing codes will be applied to the construction:
o International Residential Code wjlndiana Amendm~nts
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o SLAB
Manufactured
Trusses:
Sump Pump:
~N
VY=N
For Single Family and Two Family dwellings, agaftions, remodels, and/or accessory structu.r.e\o ~ . ~~If-il~ q;ommences within ISO
daya 01 the date 01 i"uanee 01 the building permit,:md muat be completed (Certi~~h1cr.!h'\'ffi\!l1GlllI/!l,\Th'Jii:QW/J'!;?1 the i"uanee date. Clalla I
structure permits are subject to the General Admini~trative Rules of the State of ~rii;l ~ ~~l2'rrs,,~p~lb~qtee9or beginmng and
" '. eompletingeDiii ' _ ~s\'a\e a. ." \NIT'! S<,-'r\~ ,..,.110
I. the undersigned, agree that any construction, recoristr:uction, enlargement, relocation, or alteration t W\~UftJ ~11a ' '#4Nafd'~" structures
requested by this application will comply with, and conform to, ~1l applicable laws of the StA~1'i ~n~~~irg~:r~annellndiana -1993n (z-
2~9) and amendments, ado~ted under authority of r.c. 36-7 et seq, General Assem.bly of the ~J(~f~~~~~Xth ~ip~ory t~ereto. ~ further:~rtify that only
kitchen, bath, and floor drams re connected to the sanitary sewer. I further certify that tG"i1st:hl~ion will n~\ftt\~ccupled until a Certificate of
Occupanc has been issued b the Department of Community Services, Cannel, Indiana.
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# Charged Re-
ReViews
Site
Cert of Occupancy:
P.R,LF,:
55.
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