HomeMy WebLinkAbout07060089 Application
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<::::;:::y< -'City of Carmel/Clay Township Permit #: 0701plJo"l9
i 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:
SEWER lITlLITY
PROVIDER:
FAX:
,6'!3- Ol3r
ZIP:
I{L.'ZD 3
t I\C. ,
STATE:
FAX:
IP:
bo3~
SECTION:
O/tl-e:
ZONING:
~rp
SQUARE
FOOTAGE:
WATER UTIUTY
PROVIDER:
ESTIMATED COST OF CONSTRUcrJon,:
(EXCLUDING LAND VALUE) 1t:I
000
/3
NAME OF UTlLfTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
bid02Lj- OOD
TYPE OF CONS
g -~',~It: ~ ~
~n~ru t this
.~I,,!~:
.~ RESIDftlJ1Ab( r
A I ditions. Remodels. Etc.
Which plumbing codes will be applied to the construction:
o International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
_yKN
_y1(.N
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for tne new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
(:;l< SLAB 0 BASEMENT (WALKOUT:_Y_N )
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_y K.N
_Y,X,.N
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction commences wi~hin 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. qass I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginn~ng 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
requ d 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 an amen nts, adopted under authority of LC. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
ki hen, arH, and or drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
cu cy has' issued by the Department of Community Services, Cannel. Indiana. "\.
'U. ~Jof-JY Mev-k ~,g-07
Print Date
OFF~CEUSEONLY:**************************************************7;S:**********~***************
INSPECTIONS REQUIRE : Filing Fees: .,;J.,. O~
~ ~. Base Inspections: ) "7:? Q
'-l:!.pper F~ot!JJg Lower Footing , < 00
~ Dn'~ Cert. of Occupancy: ,<)1). -S-
~n Meter ase
WJ{ , P.R.I.F.:
Reviewed/Approved: Dept. of Community Services (Date)
# Charged Re-
Reviews
Additional Fees
S:PermitsfForms/ILP RESIDENTIAL