HomeMy WebLinkAbout07050235 Application
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\ Ctty of Carmel! Clay Townshtp Permit #: 0 70,-'1'0 2SS-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &a-~eI1M0mMv Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
NAME:
STREET ADDRESS:
FAX:
PHONE:
440 Allison Pointe Blvd. #200
Indianapolis, IN 462S0Y:
STATE:
ZIP:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
& PROJECT
INFO:
SEWER UTIliTY
PROVIDER:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCfION:
o SINGLE FAMILY
.~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECf INFORMATION:
Early Release
Permit:
Lot Split:
_Y~N
_Y--.llN
PHONE:
FAX:
CITY:
STATE:
ZIP:
ZONING:
SQUARE I) 7" ;iJ;:;-
FOOTAGE: 0") L..f 0
,
TYPE OF IMP
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
I
~hich plumbing codes will be applied to the construction: :
9f International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
~ SLAB 0 BASEMENT (WALKOVT:_Y_N )
Manufactured
Trusses:
Sump Pump:
~Y_N
_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 pennits 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 r.c. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify th~t 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 I
Dee 'Fancy has been iss d by the Department of Community Services, Cannel, Indiana.
C " 7. Uiu- lJ/-IfhJJOJ I-II^A~I-I(),^/
Sign ture o( er or uthorized A ent Print
OFFICE USE ONLY: **************************************************
Filing Fees:
Base Inspections:
Cert of Occupancy:
0-J~-(h
.
D.le
Final
# Charg'ed Re-
Reviews
P.RJ.F.:
Reviewed/Approved: Dept of Community Services (Date)
S:Permlts,lFormS/ILP RESIDENTIAL