HomeMy WebLinkAbout07040100 Application
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City ofCarmel/C/ay Township Permit #: 07CftoVtle
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTIUTY WATER UTILITY
PROVlDER'C PROVIDER: CAP,
NAME OF UTJUlY EXCAVATION COI"ITRACfOR; PlAN
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND
FLOOD ZONE AREA DESIGNATION(S) . " ,,;;, .~. ~
FOR THIS PROPERTY: . "",., :,::,J~ \f~\-~
-';',\ --..-::." ...
TYPE OF CONSTRUC1l0N:~> \'o<";"TvP
./ /""",y
[If SINGLEFAMIlY,""="'/
o TOWN~H6M,~'?/ \ ~
o TWO FAMILY\\ <l
# of units1being ~\'
constructecfat this
time: .\ \\\
o RESIDENTIAL\(For /0
Additions. Rem\?/ g
PROJECT INFORMATION: 0
PHONE:
(3
OTY: STATE: ZIP: ('
I IN 464 f! I
BEST METHOD OF CONTACT:
PHONE: FAX:
(31 34'7- ?.3/ff
CITY: STATE: ZIP:
IN . III I./, :l 'I
SECTION: ZONING:
3 $-1
SQUARE
FOOTAGE: <I(.,lD~
ESTIMATED COST OF CON~UCTION:
(EXCLUDING LAND VALUE)
of State and Local Codes.
II
l / CLA\Pqt(D\~!U.TRACTOR:
R CTURE INDIANA ]Aul ,;. S",'/TI.j
AD ON(S) Plumber's Indiana State License #:
CH AD ION(S)
DECK ITION(S)
R DEL
_ Basement Finish only
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Early Release
Permit:
Lot Split:
-y~
_y-.LN
~_N
~y_N
101777
Which plumbing codes will be applied to the construction:
rJi International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWL5PAIf 0 POST & BEAM _~R
o SLAB rJlf' BASEMENT (WALKOUT:_y~N )
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 permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits 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 - 1993" (Z'
289) and amendments, adopted under authority of I.c. 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
Occupancyhas been issued by the Department of Community Services, Cannel, Indiana.
. . e,' .
Manufactured
Trusses:
Sump Pump:
'-/ In/f)?
loll.; A. B:RbSoJ.lG--l1oo;IIIE
Print
Oate
Reviewed/Approved: Dept. of Community Services
S:Permits/Fomls{ILP RESIDENTIAl
(Date)
OFFICE USE ONLY: ************* *************** *********************************** ******************
INSPECTIONS REQUIRED: Filing Fees: --I!70. f1 0
Gpe~g LE....~ Under Slab Base Inspections: ,;2 815 {/
?':. ;:.\._ Cert. of Occupancy: S. . S-O
~,it~/'A7 y..'
IiL' IY+<1M P'~ATAL'
Fee Received by:
# Charged Re-
ReViews
Additional Fees
';TO
Date