HomeMy WebLinkAbout07050241 Application
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CIty of Carmel/Clay Townshtp Permit #: (!)7V~ 0211
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, f8e0i8l'td.Dltlellew Structures, Additions, Remodels, So. Accessory St!ructures
I
Ins a
BUILDER of
RECORD:
NAME
STREET ADDRESS
FAX
PHONE
Indianapolis, IN 4625CYITY
STATE
ZIP
PROPERTY
OWNER:
NAME
STREET ADDRESS
-LOCATION
So. PROJECT
INFO:.
PHONE
FAX
CITY
STATE
ZIP
ZONING:
SQUARE I) 7 h
FOOTAGE: Cl) 40.
" SEWER lfTILITY WATER UTIUTY (I
PROVIDER: PROVIDER: L{)){(YUL
NAME OF lJT1lITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
\lil NEW STRUCTURE Ul, U'rY)[)}{ p _
o ROOM ADDITlON(S) PI~.l.ber's i:~.tanaState License #:
is ~~~~~~~CJ!twt~A>SEO Fd~&g/ja5'7
o ACCESSOR~~gj!!!:lI~comlMllkIU'lumbi~g o~,,"nOll/.lied to the construction,
","""~e wrtn all reculatin
o DETACHED GARAGEOf State\Jh~@IC'8/'~B'tI Rl!Slill!lftG*Code w/Indiana Amendments
o A~~C~~~'J;IQF COMfI4b1fl1ml~,c;;e~/Indiana Amendments
o D M L ""T T OF CARMEL(~'etJ!1faw~tHlpe)
fNalJlilbWrION TYPE: (Check all that apply for the new
Manufactured v
Trusses: ~y _N construction area)
o CRAWLSPACE
Lot Split: _Y iN Sump Pump: _Y JLN r;& SLAB
Does any part of the property lie within a special Flood designation area: _Y-A...-N
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y LN
/
LY!fJCLL- f1w / )JrfY);
o
o
POST & BEAM
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 Carmd
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 noor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied uncil a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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5- d 9, -()7
Date
OFFICEUSEONLY:************************************************************************
Filing Fees: r; 78. /\"o
SPECTIONS REQUIRE . 2 Q" 7, ,~ 0
Base Inspections: ~~ .{)- --1
Lower Footing U ' - c-
Cert. of Occupancy: _ \U , /:;-0
P.R.I.F.: ,';:;;2 7. fJ()
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# Charged Re-
Reviews
Additional Fees
(Date)