HomeMy WebLinkAbout07010127 Application
City of Carmel/Clay Township Permit#: 0'10l(){;ur
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER UTIliTY
PROVIDER:
NAM~
o 0" J ~
CCJ/'.
PHONE:
.s- Vf-cf/J-:J
FN<:
o-y.s-= ~4J
ZIP:
~d':-V.R
BUILDER'S EMAIl ADDRESS:
ff/l
,.eel
LOT#:
SUBDIVISION NAME:
CITY:
STA~
EST METHOD OF CONTACTA
C
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)'
j! F'. -.~. "
NAME OF UTIliTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMII #'S (IF APPLICABLE):
I;>
lOO;>
FLOOD ZONE AREA DESIGNATION{S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
# of units being 0 DECK AD~m~(S)
constructed at this 0 R~DEL\\U
time: r:~c, ... " B~~~,?!-enfF1nish only
o RESIDENTIAL (For <:nv\ CO' ACCESSORY BUILDING
Additions. Rel1)GdelSi:fic!\ c: h(' ..o"\OEl'ACHED ~RAGE
?-E.\):.....';'o cOff\V" -, .;, Q)::-:Jl:rTACHEDGARAGE;>
_~p.C\' >D ,\1'.,- ~c 'D'E' MO-'unON ," ,"I'
PROJECT INI<UKMATHlN~a." . . \. ,,' <"
- ----::. .Oi)',\"l~',..\C:{ ,\..;\1'1
Early Release Cl'~ O\' C " \,M~anUf~ctured
Permit: 0"" ..-L.lI\?;'"' Trusses;1\ _Y_N
-<"'J r-- \\ '\.j\'"
Lot Split: C\1.~ _N ~ump Pump: _Y _N
/ll
1'/1
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TAX MAP PARCEL #:
<..... "
'- ""''''''
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PLUMBING CONTRACTOR: '...., ,(i 1/'
_ ~, //'l /;;'
'~" ...........,.j ( "''--:/ I
-'~...... -.........., .I
Plumber's Indiana State License #: '-', /
'..........j
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
-El) SLAB 0 BASEMENT (WALKOUT:_Y_N )
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 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 l2) regarding expiration time frames for beginning a:nd
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 Cannel Indiana - 1993" (Z-
289) and amendments, adopted under authority of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I 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
Dc 'Fancy has been issued by the Department of Community Services, Cannel, Indiana.
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Print I
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED" Filing Fees: 1.3:3 , 50
" Base Inspections: S:S . So
Upper Footing Lower Footing Under Slab
Cert, of Occupancy:
Rough In
Meter Base
Final
C3
o
(Date)
~
Revie ed/Approved: Dept. of Community S
S:Per01itsjFOf01SjILP RESIDENTIAL
Fee Received by:
D~te
t/'i IOJ
Date
# Charged Re-
Reviews
Additional Fees