HomeMy WebLinkAbout07030226 Application
City of Carmell Clay Township per~()'1~1D7-Zp
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
STREET ADDRESS:
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- '2
4-g20-0 Cdl
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(cera
FAX:
-7630
,
BUILDER
OF
RECORD:
STATE: ZIP:
2~1
BUILDER'S j=MP.ll ADOR~:
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BEST MET~~ACT:
PROPERTY
OWNER:
NAME:
ell- vjA eru AJ
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PHONE:
ItSED FOR ~C~NS'J<RUC~:~~
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FOOTAGE: il '-
STREET ADDRESS:
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NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMIS N / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
LOT #:
Nar
CITY OF ~1lJIf'Jo'EL / C
::~i '\
LOCATION
&. PROJECT
INFO:
:LI
SEWER UTIUTY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) '.,~ . -.~:~:.-2::,0.:duQ...
TYPE OF CONSTRU
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc. \
TYPE OF IMPROVEMENT:
: ; ,\,1 ,'~ .
~( jJr"
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., / I
.' !i \\i/
J ... \/ ., \';:
... --------1 ! i \::
,.. !Ji
FLOOD ZONE AREA DESIGNA
FOR THIS PROPERT't':
unS~J
MAR 3 0 2007 ill i!1
jL::/1
q NEW STRUCTURE
)!Q ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
~ ATTACHED GARAG~E
PROJECT INFORMATION: 0 DEMOLmON
Early Release. / Manufactured
Permit: y f( Trusses: y ---tJ< /
Lot Split: Y ~ump Pump: Y ~
ry
uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the,lnew
construction area)
o CRAWLSPACE
o POST & _ BEAM _PIER
trJ, SLAB 0 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 pennit, 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 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, an~onn.ta.a1~plicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993": (Z-
289) and amendments, adopted under authori He. 36~7 et seq, Ge I Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connec to the sanitary sewer. I furth certify that the construction will not be used or occupied until a Certificate of
OccuplEcyhas been issued by the D artment of Community Services, el. Indiana.
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P.R.I.F.: Additional Fees
[' . J6T~L.:: / /7 ~ $/ /jj'? fJ7
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Fee Received by: Date
Filing Fees:
# Charged Re.
Reviews
OFFICE USE ONLY: *****
INSPECTIONS REQUIRED:
C!T.iPe;:-Foot~ Lower Footing Under Slab
~ MeterBas~Fin;1 ~
Base Inspections:
Cert. of Occupancy:
ed: Dept. of Community Servic
S:Permits/FormS/llP RESIDENTIAL