HomeMy WebLinkAbout07030110 Application
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/ City of Carmel/Clay Township Permit #: 01 {).~It_O
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:
STREET ADDRESS:
LOT to
FAX:
PHONE:
575- ;)350 ;<';)0
CITY: C
Sf
ZIP:
ct o3:J-.
n . BEST METHOD OF CONTACT:
,-UL.rG. 1
PHONE:
FAX:
:I
'r""" I
CITY: Subject to cornpliaf~tjT1)'ith ail regu~e:ons
'lodes.
~A!iUNiT' ~~ E:tk.
veINDIANA1Il~~~E:s:ro 3
ESTIMAlED COST OF CONSTRUCTION:; \,/./.._...I .
(EXCLUDING LAND v~~___. . 0 '+ i
__ I
A -l SuPf::RJ UIG 07D"?61
NAME OF UTIUTY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DAlE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT ,'S (IF APPllCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
g/SINGLE FAMILY
o 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 .~
_Y~
ilX'1
TYPE OF IMPROVEMENT:
~NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDIW'
o DETACHED GARAGE
o ATTACHED GARAGJ
o DEMOLmDN
Manufactured
Trusses:
Sump Pump:
............
Y N
~-
_Y_N
TAXI1P~R'Qli._ ,C( - 00 - Ol,OOlO,
PLUMBING CONTRACTOR:
trAM U q. -Sf) I\l Q I tJ C~
Plumber's Indiana State License #: \
~p I DOO ill.1
Which. plumbing codes will be applied to the construction:
~ntemational Residential Code wI Indiana Amendments
r:::J Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER.
o SLAB ~~~EMENT (WALKOUT:_Y ~
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 pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure penults are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
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 Carmel Indiana - 199J" (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
Occupancy has bee' ed by the eparnnent of Community Services, Cannel, Indiana.
/' J vOA-AhJf &-1f:Prlf12JJ 3-//10 /D1
/ Sig 0 OWner or Authori Agent Print Date
~QEE~EUSEONLY:******************************************************~*************!**!********
Filing Fees: , )""J SJ t(} '?6t 30
Base Inspections: .;2 7 '/. c~ # Charged Re-
ReViews
Cert. of Occupancy: 53, 50
P.R.I.F.: / eX 61 r1 0 Additional Fees
TOTAL: ~~~~
;5?S.{! 30
INSPECTIONS REQUIRED:
Lower Footing
Under Slab
Final
Site
Fee Received by:
Date