HomeMy WebLinkAbout07060260 Application
City of Carmel/Clay Township Permit #: OTDbO~lpO
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:
STREET ADDRESS:
LOT#: 22
ADDRESS OF CQNSTRUmON: .
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Ok
SEWER UTILITY
PROVIDER:
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
X RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y_N
_Y_N
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
~ PORCH ADDITION(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
_yXN
_Y_N
CITY:
STATE:
ZIP:
SECTION:
r ~ONINGl
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SQUARE
fOOTAGE:
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TAX MAP PARCiJ it:
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PLUMBING CONTiCT?R:__h
Plumbers Indiana State.License .#.:.
III111
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Which plumbing codes will be applied to the construction:
o International 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 ~ POST & _ BEAM LPIER
o SLAB 0 BASEMENT (WALKOUT1_Y_N )
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction commences wit.hin 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 LC 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bat nd flo r droins are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupanc "-' i,.,;ued by the De nt of Community servicSfuQ,ndG).. \ ~ I "'/ '7/'-.1 () +-
pnnt ~
OFFICE USE ONLY: ****** ************************~~****** ***************~***t1."fr*********** **** ***
TN CTIONS REQUIRED: FIling Fees: ,I 5 /- ~
- Base Inspections: / -:? .,,2. () 0
Upper Footin Lower Footing Under Slab '
~. _~ Cert. of Occupancy: , <;' s:: ":;-0
Meter Base Final ~
_ P,R.LF.:
Rough In
# Charged Re-
Reviews
Additional Fees
~~ ,f2!7. YY
fee Received b" ~ Date