HomeMy WebLinkAbout07060060 Application
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City of Carmel/Clay Township' Permit #: () 70tAJf)&,O
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &; Two Family: New Structures, Additions, Remodels, &; Accessory Structures
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BUILDER
OF
RECORD:
NAME:
p
PROPERTY
OWNER:
NAME -s'Al'Y\E-
STREET ADDRESS:
LOCATION
&; PROJECT
INFO:
SEWER UTILITY
PROVIDER, tA!2J...{fL-
WATER lJTILITY
PROVIDER:
FAX:
d-D0
STATE:
PHONE:
FAX:
~ -
ZIP:
E::L
ZONING:
q 3-1
SQUARE 2 \J .
FOOTAGE: 6:.5&;
U II 1',10%
. 3&</
. ~I~>"",OO IwllT
A -1- ;S UPE:~ 0/2 Ex c. .
-3&- 3 -03-0+3.
INDIANA
'f,
ESTIMATED COST OF CONSTRUCTION: -
(EXCLUDING LAND VALUE) _
NAME OF LmUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR (DUN1Y WELL AND/OR SEPTIC PER'S (IF APPLICABLE):
FLOOD ZONE AREA DESI~
FOR THIS PROPERTY: I
I
,
TYPE OF CONSTRU .
o SINGLE FAMILY
!V4'OWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y~
-y4
TYPE OF IMPROVEMENT:
oY 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 DEMOLITION
Manufactured
Trusses:
Sump Pump:
~N
-Y VN
PLUMBING CONTRACTOR:
tp /Q)OOO 10 I
Plumber's Indiana State License #:
HAm m '+ ,'\r'A1S
WhiC}plumbing codes will be applied to the construction:
UV'Intemational Residential Code w/Indiana 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
fr'---:-;c: _ Cl?"'5LAB 0 BASEMENT (WALKOUT:_Y_N )
for Single Family and Two Family dwelhngs, additions, remodels, and/or accessor) ~iru\c~Jies: this 'ile;mifi;;~alid.only if CO!lstruction conunences within 180
days of the date of issuance of the building permit, and must be completed (Certificatti bt Occupancy issued) within 18.nionth~' of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indian~ (See 675 lAC 12) regarding expiration time frames for beginning and
completing co~truction. I '. '
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alterati~N9f'f st.tuc~.ure" or any change i,n the use of land or structurE;s
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and th"'e ~:Z960g Or,dinar;ce/o[ Cannel Indiana - 1993n (Z'
289) and amendments, adopted under authority of I.C. 36,7 et scq, General Assembly,of the State of ~!:diana, and all Acts amcJ,'ldatory,thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction' will not be used.or occu-pied until a Certificate of
Occupancyh.s I~:J[JY the Deparrm:d Commuillty Sernces, C::JOA~ rJ E ;S; H EP~('12io ((J / 4- / [) 7
(SiQnature. Owner or Authorized ent Print ' Date I .
USEONLY:******************************~~*********************** *****2:J************~****
INSPECTIONS REQUIRED' FIling Fees: ' ~ :
. ~ Base Inspections: . 3 0 # Charged Re-
Upper.FoD ng Lower Footing ~ Reviews
Cert. of Occupancy: ~ "),5. 60
P.R.I.F,: /l..-bJ . () 0
~ ;41: ~- ~ 2~93.t,f)
~e~(ce?~/ r<<D) ~ L~ 1m
~
Reviewed/Ap roved: Dept. of Community Services
S:Vermtts!Foons!ILP RESlOEN11AL
(Date)
Additional Fees