HomeMy WebLinkAbout07060081 Application
City of Carmel/Clay Township Permit #~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, lit Two Family: New Structures, Additions, Remodels, lit Accessory Structures
BUILDER
OF
RECORD:
NAME:
LOCATION
lit PROJECT
INFO:
BUILDER'S EMAIl ADDRESS:
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NAME: {# 1//&
STREET ADDRESS:
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73/ ~ S-
PROPERTY
OWNER:
FAX:
STATE;
.;?A/
SEcr;'1
ZIP:
~~ 5'"2-
ZONING:
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE}
{r:-2:;oo-:"'=____.
':/"1 IC----.--..... ~_ '//.
ESTIMATED CO.s:rIOfiCO.~~~~qION:-' p --'~~----7~~
(EXCLUDING LAf'1D YAlUE) ::./<'l!:, "{SF;,' 'i:':' ~ ~,
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SQUARE
FOOTAGE:
TYPE OF IMPROVEMENT:
/
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
01 DECK ADDITION(S)
IV REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GA
PROJECT INFORMATION: 0 DEMOLITIO /;~' ~'(;t. F UNDATION TYPE: (Check all that apply for the new
/' C nstruction area)
Early Release V.. Manufactured t.
Permit: Y N Trusses: . 0 CRAWLSPACE 0 POST & BEAM PIER
Lot Split: Y ~sumpPump: r~_C~EMENT(WALKOUT:_y-m
For Single Family and Two Family dwellings, additions. remode~ ,_ ~" :.e~,g~f{~~~~P 'tAs valid only if construction commences within 180
days of the da~e of issllar.'-ce of the building pe~t: and must b~~~~~~:e.'e~ ti~ ~~~o?ths .of the issuance da~e. ~lass I
structure penmts are subject to the General Admmlstrative Rules ~;i~~~lJ1(i\~ :e;ij.(~t~~fp.tlon tune frames for begmmng and
I, the undersigned, agree that any construction, reconstruction, enlar~trl;;~e~~ti<?n....O{ i~PtipG{Jk'fucl~, or any change in the use of land or structu~es
requested by this a lication will comply with, and conform to, all a~lG~@~~~'t.h\~ii..l1f1~nd the "Zoning Ordinance of Carmel Indiana - I?93i (2;
289) an n ments, dopted under authority of I.c. 36~7 et seq, ~h'allAssembly of the ~&lMl'h~, and all Acts amendatory thereto, I further certify that only
kIte , bath, and flo drams are con to t mtary sewer I further certdy that the constructIOn will not be used or occupied until a Certificilte of
o cupancyhas ."ued hy the epar t 01 Commuruty se~,ces. Carmel, Ind.ana 9zr ~ / ~ft}7
Signa f Print D~
i'-' III
TAX. MAP PARCEL #:
I -..'-- .-__
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PLUMBING CONTRACTOR:_~L
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Plumber's Indiana State License #:
," "/'
"I f'
/11 II
'11'1'
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FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE orcONSTRUCTlON:
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
I
,
I
j
Which plumbing codes will be applied to the construction:'
o International Residential Code w IIndiana Amendments
Uniform Plumbing Code wI Indiana Amendments
OF CEUSE NLY.**************** ********1*~******* ********************************************
INSP~CTIONS REQUIR~: r\, b ~ Filing Fe 5: / '3 S. S- 0 /11
. _ V ISase I spections: ~b 7 ,J'.(}/7';? .JlfCharged Re-
Upper Footing Lower Footing Under Slab I _ Rev'ews
S. ,,/)
of Occupancy: ::;, / V
~ CMeter B~
Fin
,LF.: Addlt,onal Fees
~~C~Stf
Fee Received by:
Date
/~
~
C vII-: I
ReviewedjAp roved: Dept. of Community Services
S:PermitsfFormsfILP RESIDENTIAL