HomeMy WebLinkAbout07040067 Application
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City of Carmel/Clay Township Permit #: o7O'-foc:tJl};
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, ll< Two Family: New Structures, Additions, Remodels, ll< Accessory Structures
BUILDER
OF
RECORD:
NAME: /vL}.r
BUILDER'S EMAIL ADDRESS:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
ll< PROJECT
INFO:
SEWER UTILITY
PROVIDER:
PHONE:Qf)59Qm
LlLlD
CTIY:
PHONE:
CTIY:
ZIP:
SECT10
ZONING:
I
J
SQUARE ^S' bl
FOOTAGE: ......, LJ
75rm
O,otfOO0<P
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEF'flC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
h SINGLEFAMIL Y
d TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
-y~~
_Y~N
Early Release
Permit:
Lot Split:
TYPE OF IMPROVEMENT:
K NEW STRUCTURE
-0 ROOM ADDmON(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
~-N
PLUMBING CONTRACTOR:
-~OIQl~
Plumber's Indiana State License #:
I Of "7
Which plumbing codes will be applied to the constructiort:
~ntemational Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/Indian~endments
~'."'..a~'b
FOUNDATION TYPE: (Che~.W"appIY for the new
construction area) f...~ 9>';; ~~~
o CRAWLSP"tO~~~~~~PIER
o SLAB~f#~~~:_yLN)
,.
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this t' '..' IQ~t1ik ion commenceS within ISO
days of the date of issuance of the building pennit, and must be completed (Certificate of O.lccP~Y,. ~~~~~!n:t lTI{l]~the issuance da~e. ~lass I
structure pennits are subject to the General Administrative Rules of the State of Indiana (Se~ ~'i~li e frames for begmmng and
completing construction~ ~-f ~ ~:('\~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alterati6i:a~f a st~t~, 9f~ch~'rn the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana,~ the (;:bmng Ordinance of Carmel Indiana _1993n (Z~
289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indi~np(ijj'Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains e connected to the sanitary sewer. I further certify that the constructio~~ not be used or occupied until a Certificate of
Occupan as been '"ned artment of Community Services, C~d'ana" - G" _L/ 1m
Signature of Ow e 0 u 'z Ag t Print Date
OFFICE USE ON L Y: * * * ** ** **** * * * * * * ** ** * * * ** * * * **, ~** * * * * * * *** * * ** * * ~ ** *t-f* * ***0.*** * * * * *** ** * * ** * * *
INSPECTIONS REQUIRED: Filing Fees: ~ dq, oJ1
C uPperfoo~tOwerFootm? Under Slab Base Inspections: ~ ~~~$;
~r;,:, - ~ Cert. of Occupancy: - -' -
CROU9~ .~~I ~ P,R.I.F.: 4; 1.:20/,00
f
$ ~ 503,go
~II?-'( O-t'
Date
# Charged Re-
ReViews
Additional Fees
~r~;q HL<J.J ~~t)1
Reviewed/Apj:foved: Dept. of Community Services (Date
S:PermitsfFormsfILP RESIDENTIAL
TOTAL:
-e~~