HomeMy WebLinkAbout07010147 Application
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City of Carmel/Clay Township Permit #:OID I 0/4-1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, l!r. Two Family: New Structures, Additions, Remodels, l!r. Accessory Structures
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BUILDER
OF
RECORD:
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ZONING: ~'_I
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PROPERTY
OWNER:
CITY:
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STATE:
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LOCATION
l!r. PROJECT
INFO:
SQUARE '-:t ~ I
FOOTAGE: V 0 I v
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TAX MAP PARCEL #:J j : I ~ i)1
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PLUMBING CONTRACTOR,.' "'---,' - . I
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Plumber's Indiana State License #:
~~\D'2>O'D~1
SEWER IJTIUTY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT ,'5 (IF APPUCABLE):
0701011f
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE.oF IMPROVEMENT:
-.zf NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
TYPE-OF CONSTRUCTION:
-d SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
Wh? plumbing codes will be applied to th~ constr-uction: !
~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apl!'-"fllt~e new
construction area) "'S:TR\.lv \ IV
.-.Ao r,O''l"latiol\S
J;1WM:llPl\1[B-'''0'' ,fJitW:ll\ reg~"IlEAM RIER
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PROJECT INFORMATION:
/rN
LY =N
Manufactured
Trusses:
Sump Pump:
Early Release
Permit:
Lot Split:
_Y~N
_yLN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this IK:~t~~~ s9:.Vc1A~ ~~ . 180
days of the date of issuance of the building pennit, and must be completed (Certificate of occu~rtslUM)'_W't . otb~~ issuance date. Class I
structure pennits are subject to the General Administrative Rules of the St.ate of Indian~ (See 67 ~ ~Pl\ ~frames for beginning and
completmgconstnlctlon. C \1U\t'
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 confonn to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Cannel Indiana -1993n (Z'
289) and amendments, adopted under authority of LC. 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
'Ccup has bef\~ed b the Department of Commumty Services, Cannel,~diana \
\.A- --JM..t.\'\Y' ZI\~"'S f1~l,* J-dCi..[) '7
S' na or Au . Print Q I ~ Date
OFFICEUSEONLY:*****************************************************!***************************
INSPECTIONS REQUIRED: Filing Fees: ~7-Jl P. Go
Base Inspections: ~7? SO
0'3. j--1
- / ;} (, J ;, Additional Fees
TOTAL: ";;;(3;7(')60
# Olarged Re-
RevieW8
Lower Footin Under Slab
F~
Cert, of Occupancy:
P.R.I.F.:
(
Cv-~ .
~ 'RevieWed/APp Oyed: Dept. of Community Services
~ \s."cm,,,,,,,cm'-'lLp RESIDENTIAL
(Date)
Date
Fee Received by: