HomeMy WebLinkAbout07030215 Application
City of Carmel/Clay Township Permit #: (I)'T1J6n6VI6-
- I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
I
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
,
I
,
BUILDER
OF
RECORD:
NAME:
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STREET ADDRESS:
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~
/S-~ 31
BUILDER'S EMAIl ADDRESS:
PROPERTY
OWNER:
NAME:
bOT
STREET ADDRESS:
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LOCATION
&..PROJECT
I'NFO:
SEWER UTIliTY
PROVIDER: c- -r I2v
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Co. Yl/l'\-er
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PHONE:
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FAX:
rL(.:J - ,5';;&,1
ZIP:
Y (,;;) n>
CITY:
j;ATE:
BEST METHOD OF CONTACT:
ZONING:
s-/
SQUARE
FOOTAGE: 07 to
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~ 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 -/N
Y~
TYPE OF IMPROVEMENT:
~EW 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
Manufactured
Trusses:
Sump Pump:
./Y _N
J6_N
PI
._-~:-~~
Plumber's Indiana State License
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Whic~mbing codes will be applied to the construction: I
CAa"Intemational Residential Code wI Indiana Amendm.ents
o Unifonn Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB Iid"'BASEMENT (WALKOUT:_Y ~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction conunences within 180
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 time frames for beginni~g 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 structur~s
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" (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 0
Decu ancy has been i ued by the Department of Conununity Services, Carmel, Indiana.
y
nder Slab
Date
# Charged Re-
Reviews
Cert. of Occupancy:
Final
OFFICE USE ONt Y: **************************** **~~*********************c:"1*******
INSPECTIONS RE UIRED: Filing Fees: ,.;
Base Inspections: '),"77. . '> [)
-
C350
P.R.I.F.: /2 (,1 () () Additional Fees
~~?hCl
Fee~: Date'
:----.... Rev' jApprove ept. of Community Services
~lllll.."_s'Pe'm;"'F",",'/IlJ' RESIDENTIAL