HomeMy WebLinkAbout06120004 Application
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City ofCarme//Clay Township Permit #:0&1 :ltt1JfJ4
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:
NAME: A '
<>IC<II') C,
CO'1~+f() c.-\-;o'l
STREET ADDRESS:
7r$1 Mo~wk L".
BUILDER'S EMAIl ADDRESS:
NAME:
Joo.^
Sc,tr, 0
STREET ADDRESS:
L.IS~"7;> Wi"J\~d
LOT #:
c..~...d~
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTION:
~/S??> \.J:~J\eCl
SEWER UTIUlY /' --r-f) "-
PROVIDER: C \ ,.r--\...)-J
C.'I c'\~
WATER UTIUlY /1 _ \
PROVIDER: LAl (L.. <.,-J
PHONE:
~11 1.5~- Y52..'-.
FAX'
?>I. "2..55- ('Il2.-'
CITY:
J: "J
STATE:
::t^
ZIP:
L./6)..f)'--I
PHONE:
FAX:
cm:
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STATE:
:r.^
ZIP:
LJ 60/1
SECTION:
ZONING:
SQUARE
FOOTAGE:lp,~ SF
ESTIMATED COST'OFtONsTRUcnON:--=- .., ~~1 ,~, ,:'.
(EXCLUDING LAN~ VfL~IE):~'; '<,;, : ":':15' 'S. ;: .',
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TAX MAP PARCEL i#:i
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PLUMBING CONTRACTOR:
Plumber's Indiana Sta:-=:VV~-
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Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Unlfonm Plumbing Code wI Indiana Amendments
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NAME OF LfTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUN1Y WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABUE):
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:
- RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
y~
y~
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
g" 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:
Sump Pump:
_yLN
0~N
"UV
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM .r:-P1ER
o SLAB ~SEMENT (WALKOUT:.J.6_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, comPI.eted (Certificate of OmCU ancW's>ultd. within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative RUl~ I . ~ . r . ing expiration time frames for beginning and
c Ie
I, the undersigned, agree that any construction, reconstruction, enla e, I a ,r n as ure, or any change in the use of land or structures
requested by this application will comply with, an 0, . able laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under auth of r.c. 36;7 et seq, General embly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are con ed to the sanitary sewer. I further ce . that the construction will not be uSt:d or occupied until a Certificate of
Occupancy has been issued by th epartment of Co 6:~SV'"ce,s, C !, Indiana, ( ( ! ~ &/ [;h _
g ture of OWner or Authorized ent nt Date
***********~~*********************.f*~*)J~*****************
Filing Fees: 0'- / , 7
Base Inspections: / h (;. stJ
"
OFFICE USE ONLY: ****************
INSPECTIONS REQUIRED:
~pe;- FO~ Lower Footing Under Slab
C!!o~ Meter Base Q!.nal' ~
c
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# Charged Re-
ReViews
Cert, of Occupancy:
P,R.LF.:
I
ReviewedfApp Dept. of Community Services
S:PermltsJFormsJILP RESIDENTIAL
Date