HomeMy WebLinkAbout07020129 Application
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City of CarmeI/ Clay Township Permit #:{jJD~D );l., 9
,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Str~ctures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIl1TY
PROVIDER:
NAME:
STREET ADDRESS:
Lon 1-1 ()
ADDRESS OF CONSTRucnON:
tWD
WATER UTIl1TY
PROVIDER:
FAX: .
EL ASED FOR CONSTRUCTION
Subject to coml"'A'fEiCe with allzlileguJalions
of Slate and Loc.al Codes
I} DEPTs@fiO . OMMU ~k~;){NcBERViCES ,
CITY OF C RMEL / ')'LAY TOWNSHlplI!
W
I r-J rv 1 " SQUARE
FOOTAGE:
NAME OF UTIl1TY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(s); ANDIOR COUN1Y WELL ANDIOR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOO ZONE AREA DEsIGNATION(s)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
, VSINGLE FAMILY
G TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y/N
Y VN
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(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
Manufactured
Trusses:
Sump Pump:
/;N
~N
-:#-{)70';).OJ~
FEB 2 2 2007
PLUMBIiNTRACTO, ~
loLl t-, ~) ,''--
Plumber's ndiano State License #:
IOlll7
Which plumbing codes will be applied to the construction:
J8(intemational Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
FOUNDATION TYPE: (Check oil that apply for the new
construction area)
o
o SLAB
PIER
o POST & BEAM
BASEMENT (WALKOUT:_Y
N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences wit~ 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. qlass I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginnirg and
completing construction. I
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 Carmel Indiana -1993'''(2-
289) and amendments, adopted under authority of I.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 drai s are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupan h", bem issue the Department of Conununity setvices,~I. Indiana., PI)iJ h 1
Signature of Ow Print Date .
OFFICEUSEONLY:******************************~~********************~***************************
ECTI ED: FIling Fees: 0 IS. 00 ,
Base Inspections: .:2.-17, 50 # Charged Re-
LJ, L..7'l ReVillews
Cerl, of Occupancy: .:J ' ~C/
P,R,I.F.: /, ;;. 6 j, O() AddiuOI;al Fees
~.A6TAL: / ii j; 401. (JD '
~~~~?"'~
Fee ReceIved by: Date