HomeMy WebLinkAbout07060080 Application
'-
\' City of Carmel/Clay Township permit#:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
< _ PHONE: (fLfe /? &, y!
FAX:
7) t_ ~JJ;'
srATE:
ZIP:
"2. 8"D
PROPERTY FAX:
OWNER: -
STATE: ZIP:
LOCATION
&. PROJECT
INFO:
ADDRESS Of CONSTRUCTION:
SECTlON:
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ZONING:_,," _/..
c-d-(-JI.
SQUARE .c-
FOOTAGE: 2 J b
ESTIMATED cosr OF CONsrRUCTlON:"'-Iff-r:v. --'--i
(EXCLUOING LAND;VALUEY;:::-,. :R. C" - II ',\~ .~~\:
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TAXMAPPAitILr\\ JUN - 7 Il\J/
PLUMBING C~~OR: I
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRU
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
'5'1 RESIOENTIAL (For
AdditioR" Remodels. Etc.) "\ <-
5c:1'1<<:..J. I 6-<'<:.\t ~eJl
PROJECT INFORMATION.
FOUNDATION TYPE: (Check all that apply for the new
~ construction area) ~
_Y _N 0 CRAWLSPACE ~&_ BEAM PIER
_Y ~ 0 SLAB 0 BASEMENT (WALKOUT:_Y 'N)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
~PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHEO GARAGE
o ATTACHED GARAGE
o DEMOLITION
::>
\" __Manufactured
_Y _~ Trusses:
_Y --.Lw
For Single Family and Two Family dwellings, additions, remodels, and/or acces52~ $IJ!~~ t~~€)Ni.ab' . tlOn commences within 180
days of the date of issuance of the building permit. and must be completed (Rttfti~Ql\3tc'upanf:Y ISS9.eeJitY.ft!1\tlJl.ig1i)\a~e issuance date. Class I
structure pennits are subject to the General Administrative Rules of the St.atec!&a~e:ecr;relPAiefi12)~e~araeO~.ation time frames for beginning and
completmgYons~ct~'State and La al f".cc:. .
t, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or al~~iq.tl..~~~rntptN \>-rafiy~\lJ~~ of I.and or structures
requested by this application will comply with, and conform to, all applicable law~~tUfi1n~Y~~hH' tne ~pnW&GNntWh.~.1ndiana -1993" (Z~
289) and amendments, adopted under authority of LC. 36-7 et seq, General Assem ~lf!P,of~~bi\J.~meh~tolJ'~~~t~..I ftJrther certify that only
kitchen, bath, and floo rains a n--nected to the sanitary sewer. I further cer tM\co.wtructiOA 'MiIJ\~~~scd 0 cupied until a Certificate of
cupancyhas be ,~ssu'ed th~ment of Conununity Service!i;, Cannel, Indi~a. . ." \NU,' ,,~,
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Print
Early Release
Permit:
Lot Split:
~
Sump Pump:
Plumber's Indiana State License #:
r-i/~
Which plumbing codes will be applied to the construction:
o International Residential Code w /Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
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# Charged Re-
ReViews
Meter Base
~.
Sit0
Base Inspections:
Cert. of Occupancy:
Lower Footing
Under Slab
P.RJ.F.:
c.,....':)~ .~(
Reviewed/Ap roved: Dept. of Community Services
S:PermltsjFormsjILP RESIDENTIAL
(Date)
Date
Additional Fees
#' 31122.
TOTAL:
Fee Received by: