HomeMy WebLinkAbout07060052 Application
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City of Carmel! Clay Township Permit #: D 70 b0052..
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Stru!:tures
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BUILDER
OF
RECORD:
NAME:
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PHONE:
FAX:
~ -17'\= &:77
PROPERTY
OWNER:
LOCATION
l!r. PROJECT
INFO:
SEWER UTILITY
PROVIDER:._____. ,
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STATE:
J.)v.
Bya.nm 8t atEcr:ON:
C!::f - Zroltf;t//r
CITY:
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ESl}MAT;Q_COST OF CONSTRU
-'-~ ' ",(EXCLUDING lAND VALUE)
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ON:
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NAME OF UTILITY EXCAVA N CONTRACT ; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
, ~~..w;.~~
.;!~OOD}ZONE1AREA DESIGNATION(S)
~FOJb1=HIStrtrtOPERfy:
TYPE OF CONSTRUCTION:
';;;I SINGLE FAMILY
D'TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
x
TAX MAP PARCEL #:
,
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
"- Basement Finish only
o AcCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
#:
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Which plumbing codes will be applied to the constr-uction: Mo..,&Jo....
o International Residential Code wjIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
Permit:
PROJECT INFORMATION:
~ Manufactured
_Y _N Trusses:_
_Y ~SU;;;;;"mp:
_Y~N
_Y X-N
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~BASEMENT(WALKOUT:_Y~N)
Lot Split:
For Single Family and Two Family dwellings, additions. remodels. and/or accessory structures, this pennit is valid only' c struction commences within 180
days of the date of issuance of the building permit, and must be completed (Certifica.te of Occupancy issue '. , hs of the issuance date. Class I
structure pennies are subject to the General Administrative Rules of the State of Indiana (See 11m ar time frames for beginning and
comPletingCOns~.~ I
I, the undersigned, agree that any construction, reconstruction, enlargement, relo~' . t .. ture, or any change in the use of land or structu~es
requested by this application will comply with, and conform to, all applicable law I lana, and the UZoning Ordinance of Carmel Indiana - 1993':' (Z~
289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assemb the State of Indiana, and all Acts amendatory thereto.-Hurther.certify rpat only
kitchen, bath, and floor drains are connected to the sanitary sewer I further certify that the construction will not be used of.occupkd until a Cercili"?a e of
Occupanc as been ,",u d by the Depattment of Comrnuruty Se"""", Carmel, Indiana (! ~. jr:2:tw I
. , . t/ellt DYct-J,J~ Wheelln~-IoV) . ~6- 0:
re of Own r or Authorized Agent Print ate
EUSEI~NSL;~~~::*::::;~:~::;:*************~~~;~:::;************:i*~~*~6******************
. . Base Inspections: IJ: -:). () 0 # Charged Re'
Upper Footing Lower Footing Under SI~b ' S. ~O ReViews
~ Y_ Cert, of Occupancy: J '
Rough I Meter Base ~ Site
"--- _ . P,R.I.F.: Additi~nal Fees
r'V6L:~ ft/~L-/ &,-rl-07
ReviewedjApp oved: Dept. of Community Services (Date)
OF
S:Permits/Forrns/ILP RESIDENTIAL
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Fee Received b