HomeMy WebLinkAbout07020138 Application
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City of Carmel/Clay Township Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
,
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
i
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
J5(-SINGlE FAMILY
'B TOWN HOME
D TWO FAMILY
# of units being
constructed at this
time:
D RESIDENTIAl(For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
_Y -/i)
_Y -=e>
Early Release
Permit:
lot Split:
erOR; PLAN COMMISSION I BZA I BPW DOCKET
mY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF IMPROVEMENT:
'C1.-.NEW STRUCTURE
f,?f ROOM ADDITION(S)
D PORCH ADDITION(S)
D DECK ADDITION(S)
D REMODEL
Basement Finisfoo -~...
D ACCESSORY BUll'
D DETACHED GARP
D ATTACHED GARA
D DEMOlmON
Manufactured
Trusses:
Sump Pump:
D_N
----lJ _N
PHONE:
67 -~3
CITY:
530
-h
eIlY:
STATE:
ZIP:
SECTION:
ZONING:
.5 I
SQUARE
FOOTAG"50 3 c;
::T
'" '. . EB 2 3 2007
Q.;O I L)r'X:);,!;) i) () /
I . -- ""- .._,_ !
Which plumbing codes will be applied to the construction-:~~.-- .
~emat(Onal Resid~ntial Code w/lndiana Amenc:t-,:"~nts
o Unifonn Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (C~eCk II that ap Iy fl!r ~,,-new-J-
construction area) bl.LU 1..d ~
o CRAWLSPACE D OST & BEAM PIER
o SLAB D BASEMENT (WALKOlJT:_Y ~
,
For Single Family and Two Family dwellings, additions, remodels, ~ruR::(Of.~JS'~~IAJc,w~"kthi~ ~rmit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be ~omPJ~te~{Cettifidtt.: (if OthJ~M.sep~' ths of the issuance date. Class I
structure permits are subject to the General Administrative Rules'of &blSiiRUt1Iitd1(n:f1~~sqe#\stilf( r~rar In . on time frames for beginning and
completing c~!3\'fi''I!'" a regu atlons
I, the undersigned, agree that any construction, reconstruction, enlarge~'t'aJ;.iQJl. 0;;..aiter1ff.5'h bACSitLG0E1eewny change in the use of land or structures
requested by this application will comply with, and conform to, all app~tt.~hWs ~ ~Q;E1Mt!Jf~Jfif!"'f~~~JJ.tAiDwce of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authority of LC 36-7 et seq, GerVjl f\~e@:#;' ~~~~ In9i~~, ap.? ..a'tf.l'riH ~~a:aCy thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify tli~I1n'tMiSbl~nqt@WNSJ'ffI!SPied until a Certificate oft
cyhasbeenissu YtheDep~tmentof~OmmUnitYseIVl<;Ice el,lndiana. I~JANA .
_v1IC~ ~)kVJ()(}) c. ;;;:, Id' /07
~ re of Owner or Authorized Agent P . Date
OFFICE USE ONLY: ********* *********************~~*********************tj**~*q0*****************
INSPECTIONS REQUIRED: FIling Fees: - 1--1- -
~peN'oo~ @Wer Fbot~ Under Slab Base Inspections: .1 ~?i I 5 ~
Cert, of Occupancy: ._ _
~~ M er Final Site P.R.I.F.: hI I 01)
M 5b
Reviewed/Approved: Dept. of Communi Services (Date)
S:Permits/FormS/llP RESIDENTIAL
Fee Recei.....ed by:
# Charged Re-
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