HomeMy WebLinkAbout07040225 Application
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City of Carmel/Clay Township Permit #:D7('Jl/D~drE1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Str~ctures
-,I"
BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
FAX:
ZIP:
ZONING:
1>
ON CONTRA OR; PLAN COMMISSION-/.BZAI BPW DOCKET
ND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
Which plumbing codes will be applied to the construction:
~Intemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code W/India&\Amendments
FOUNDATION TYPE: (Ch,\~"),l?~'f apply for the ,new
construction area) ~0\) Jo'1>"
o CRAWLSP S ?e~r~~'~Af1_PIER
~..!0 "i:} _..o.-.",,~, ,~. . /"
- Xf'A': Y-k':N)
'1,0!/'\};,- ,I - )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory stiuc~hiis.--thi':-- , ,~.- :~~~~\5 '--: - ,:?~ tion commences within 180
days of the da~e of issu~ce of the building pennit, and ~ust be completed (Certifi~~t~.of ~cc~cy, '. e~ ~ .~#Ifiisl.?f the issuance da~e. ~lass I
structure penruts are subject to the General AdministratIve Rules of the State of Ind~~a.~~~ ik ex~fh1~,\~e frames for begmmng and
. completing c.onstruct~~. 0~a- . . ~~ l J I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, ~~llte~of a strpt\1; re y~h~~ih..tl:eluse of land or structures
requested by this application will comply with, and conform to, all applicable laws of the 5tkte bn~d~;i:an Id"(h~ing ~iAcecif Cannel Indiana - 1993" (Z~
289) and amendments, ado~ted under authority of I.e. 36-7 et seq, General Assem.bly of th~ State Jr-r- . a,~irrA~_s amenaacory t~e~eto. ! further .c~rtify that only
kitchen, bath, and or drams are connectt'd to the sanitary sewer. I further certify that the const t~~' not be used or occupied untIl a Certjficate of
Occupanc ,7as i"u bythtDtpartmtntofConununity5tcvict Canntl,Indiaria---.;- ~ - --'- -~Q -~-czt~({'71o~
Signature Datep ~
FLOOD ZONE AREA DESIGNATlON(S)
fOR THIS PROPERTY:
TYPE CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
_V L;v
_V lL.N
Early Release
Permit:
Lot Split:
X'-~
"2 ~cr.ct
~
TYPE OF..JMPROVEMENT:
~w STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
_Vv;:'
Sump Pump:
J.d' _N
INSPECTIO QUIltED:
- 'ower~U--- Slab
Filing Fees:
Base Inspections:
Cert. of Occupancy:
# Charged Re-
Revj~ws
,
I
AdditiOn~1 Fees
Site
P.R.I.F.:
Dept. of Community Services
S;Permlts/FormS/ILP RESIDENTIAL
Fee Received by:
~
.70'
Date