HomeMy WebLinkAbout07060212 Application
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SEWER lJTJlITY /' ^J) I J CO WATER lJTJlITY 11 ^ -f) 1 J - [U U I ESTIMATEO COST OF CON,5]lU ON: r1 a
PROVIOER: LA,f"'J'-'lV L- PROVIOER: w\ f<A~1 e:1-+ ' i (EXCLUDING LAND VALUE""f?'I.: , . , , I I
NAME OF lJTJlITY EXCAVATION COI'ITRACTOR; PLAN COMMISSION / BZA / BPW DOCKET I A 1: \' rx- --"' I I
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT#:S (IF AP~U,CABLE):- .. ~ -,;;:s;btrC:/=tGl<. 5'X. C- '
FLOOD ZONE AREA DESIGNATION(S) .-..I- '^'s ~. li FO . 'I
FOR THIS PROPERTY: ::.p- \J cd,)" flJfi]Fl 'cJ -D/l.OOO
TYPE OF CONSTRUcnON: TYPE OF IMPROVEMEtE;PT OF PiIQl\lliB' jl:'" , ons
~INGLEFAMILY 0 NEWSTRUcruR€ITYO COMM _ '_~NS.
o TOWN HOME 0 ROOM ADDmON(S) F c~ '1 ~' liiS#:
o TWO FAMILY 0 PORCH ADDmON(S) I ' :6l1lV1\tlJ'LiJIr.l
# of units being 0 DECK ADDmON(S) NOlA. DUt ~III.IM
constructed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels. Etc.) 0 DETACHED GARAGE
o ATTACHED GARAGr
o DEMOLmON
(
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit #: 016100) )1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PHONE:
FAX:
CITY:
~T
STATE:
El
%03:1-
IL
FAX:
ZIP:
STREET ADDR~ArY\ [,
cm:
STATE:
ZONING: S - .1-
SQUARE I n
FOOTAGE: (j.I 03.
Which plumbing codes will be applied to the construction:
~temational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
Manufactured
Trusses:
Sump Pump:
t/y N
l7v=N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
Permit:
PROJECT INFORMATION:
/'
y N
Y Vj(
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB I>Y"BASEMENT (WALKOUT:_Y ....-;;)
Lot Split:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning 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
requested 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) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory 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 occupied until a Certificate of
Occupapcy has been issued by the Department of Community Services, Carmel. Indiana.
'00A-tJ AlE ..s t-JEPHE1;?jJ
Print
h /cJ.1 /01
D.le
EUSEONLY:********************************************************7**~~******************
F"I' F " /00.) Ii
INSPECTIONS REQUIRED: ling ees. , '
Upper Footin ~. wo!r Footing) U Base Inspections: ~ if '1/
.....-;-.~~ Cert.ofOccupancy: _ -
Roug ~ ~ (, " (jr)
(jJJL / /0
Reviewed/Approved: Dept. of Community Services (Date) ,
S:Permlts/FormS/lLP RESIDENTIAL
# Charged Re'
ReViews
Additional Fees
Date
, sO
Fee Received by: