HomeMy WebLinkAbout07050229 Application
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CityofCarmel/Clay Township Permit #: tYl !J.5Dj~9
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
i
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER UTIliTY
PROVIDER:
TYPE OF
o S
o TO
o TWO
#Of~
cons
time:
~ESIDENTIA
Additions. Re
NAME:
NAME:
LOT #: 3
ADDRESS OF CONSTRUCTION:
~/S
tJvff7~C
STRUCTURE
ROOM AODITION(S)
PORCH ADDmON(S)
DECK ADDmON(S)
REf1IroEL
XBasement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Manufactured
Trusses:
~~
~_N
Early Release
Permit:
Lot Split:
y~
YLN
Sump Pump:
FAX:
FAX:
SQUARE I. /00
FOOTAGE: 10
ESTIMATED COST OF CONSTRUcnO,>>, .....--:
(EXCLUDING lAND VALUE) I?' J an
"
TAX MAP PARCEL #:
7-0 -Q!o-a>-o;t-o~-~
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST &_
o SLAB ~SEMENr (WALKO
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid onJY~' e ces wit.hin 180
days of the date of issuance of the building permit. and must be completed (Certificate of Occupancy issued~wit' I e uance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) re . e frames for beginning and
completing construction. ~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a str u . y 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 oning Ordinance of Carrnellndiana - 1993" (Z'
289) and amendment, adopted under authority of r.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 or ~rain onnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyhas n'S;u e Department Of~ unity Services, Carmel, Indiant ~ hO/c;7
Signature of Date' '
INSPECTIONS REQUIRED:
Upper Footing
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*************************************~************************
Filing Fees: / :J?,. (0
, / /). 170
.
55. SO
Base Inspections:
# Charged Re-
Reviews
Lower Footing Under Slab
Meter Base ~I- Si0
P.R,LF,:
Cert, of Occupancy:
Additional Fees
S..
Community Services (Date)