HomeMy WebLinkAbout07050051 Application
City of Carmel/Clay Township Permit #: 0705005/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
STREET ADDRESS:
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lOT #:
SUBDIVISION NAME: Q \;'
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ADDRESS OF CQNSTRUCllON: '"""
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WATER UTILITY (' Q
PROVIDER, i \..-V-.-",,\?- \
SEWER UTILITY () _ -7"J, ~
PROVIDER: \....- '\ ~~ Y
PHONE:
STATE:
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PHONE:
HOD OF CONTACT:
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SECTION: I',..
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CITY:
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SQUARE '- \.'")
FOOTAGE:(:P ::; J .5
STlMATED COST OF CONSTRucnON: "-
(EXCLUDING LAND VALUE) ~ Ci ~ Cou
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR (DUNlY WELL AND/OR SEPTIC PERMIT #'$ (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE F CONSTRUCTION: cSl
<:'6,
SINGLE FAMILY ^:r" w STRUCTURE
TOWN HOME 0... v~ oj{OQM ADDITION(S)
o TWO FAMILY /J}: /' ~ 1'.9R'C&~DDITION(S)
# of units being 0 o..QSI,.P.~ AI;lOITION(S)
c,onstructed at this ~ ~ ~)iEM~( C
tIme: 0~ O~~~;;;;I;ofinish only
o RESIDENTIAL (For i K"c;g~RlY;;ll~ING
Additions. Remodels. Etc.) . ~~~~~~0
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PROJECT INFORMATION: 4,V ~I'l~ il: ~~O "'1-
~:~~i~:elease _Y h ~r~,::~red /-O~ N"~
Lot Split: _ Y ~ Sump Pump: iSI N
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TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
W ~ \ \ V'I' -t 'Z- \> \ "",,\0,' ~
Plumber's Indiana State License #:
\l \ O~Db';) '7
Which plumbing codes will be applied to the construction:
~temational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
I
FOUNDATION TYPE: (Check all that apply for the: new
construction area)
o CRAWLSPACE 0 POST & BEAM ~PIER
o SLAB if' 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 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, 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 l.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
ccu has en issue the e ent of Cornm nity Services. Cannel, Indiana. ,t
Q: ,~i'.C"\'-'" 7dk.rr I fj-,tJr ~'::f .:oj
Print ~ r'tj Date
ONLY:*********************************************************************************
NSPECTIONS RE UIRED: Filing Fees: 10 3?. >P().
Base Inspections: J J' ;: 30
Cert. of Occupancy: - ,fS, 50-
6 ~
Under Slab
# Charged Re-
Reviews
~ tJ -'
l \ ReViewed/Approved: Dept. of Community Services
S:Permits/FormsfILP RESIDENTIAL
\
(Date)
Fee Received by:
Additional Fees
Date