HomeMy WebLinkAbout07030236 Application
City ofCarme/lClay Township Permit #: OryO 3nZ~fp
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home,&' Two Family: New Structures, Additions, Remodels,&. Accessory Str~ctures
BUILDER NAME:
OF
RECORD:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
8< PROJECT
INFO:
LOT #:
SEWER LmUTY
PROVIDER:
NAME OF lITlLTTY EXCAVATION CO
NUMBERS; TAC DATE(S); AND/OR COU
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
_yX:
- y...kN"
Early Release
Permit:
Lot Split:
FAX:
STATE:
ZIP:
SQUARE "L I ~
.. FQO,AC;E: lS..zx.o
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'PLA~
w A1!P./OR
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~ Of' P ENT:
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. . 'Ii'"
NEW'$r
. ~09M:" ~.
o '~PO !,ri~
o 'j)E~~f ~ ~
o REMOoa 1>t" . .~. ~...
BaSilfM.nls~ry
o ACCESSO iNI!'
o DETACHED E
o ATTACHED G GE
o DEMOLITION
ESTIMATED C :, OF1 C6"NSrRUcnON::
(EXCLUDING LAND VALUEj ~.~..~...._..
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ii; ')i
I;, 11
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:11 i!
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PLUMB.ING CONTRA~ -
~ D L\( .. (5
Plumbe s Indiana State License #:
LO()7&&3
Which plumbing codes will be applied to the construction:
~temational Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
Manufactured
Trusses:
1'1. y
.~-~
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
o SLAB ASEMENT (WALKOUT: Y
Sump Pump:
For Single Family and Two Family dweUings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within ISO
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration tinle frames for beginning and
completing construction.
1, 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 conformJo,.a1l-awlka~aws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993n (Z'
289) and amendments, adopted under authority of I.C..)6q et seq, General Ass ly of the State of Indiana, and all Acts arpendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to ths,.sanitary sewer. I further certi hat the construction will not be "'ed or occupied until a Certificate of
Decu cy has been issued the De ent"of Communi Setviees. Carmel. diana. '- {:x It i7
Da~ ~Q
# Charged Re~
Reviews
P.R.I.F.:
Reviewed/Approved: Dept. of Community Serv, es (Date)
~S'Pe'mIM"'m'/ILP .ESIOENnAL
Fee Received by:
Date