HomeMy WebLinkAbout07060259 Application
City of Carmel/Clay Township Permit #:D'1C(00q5Q
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
FOUNDATION TYPE: (Check all that apply for the new
Manufactured / construction area) ei'ION.
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o pI: _ _ ump ump: y:\'C.Lt:J' '-- orn~\6llce0'l'\ 'B~e-,,:r (WALK UT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessJVt ctureft. $i.\ft~1j.ih\V~qih)r ~~'!~:lt~\~tilmences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Of'\'W~Wlie6)-Wil~iIJ\~I1'\JQgl\6.tjt'tl?e'issuance date. qass I
structure permits arc subject to the General Administrative Rules of the State of InP\e.RSe~5 I ~~atcC~iration time frames for beginning and
. . completing c~n,Irti";;!iol"\F Gf>.: Il.N,o,. .
I, the undersIgned, agree that any construction, reconstruction, enlargement, relocatl~~l ikeht'tlon of a stru~~f MY 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 Cannel 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, 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
Occupancy has been issu d by the Department of Community Services, Carmel, Indiana.
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OFFICE USE ONLY: ******************************~~******~******** ** ****~~R*****d*****************
NSPECTIONS REQUIRED: FIling Fees. - CL. a
- . _ Base Inspections: ;) ~ a. (j ()
per Footln Lower Footing Under Slab
~~. _~..:_ Cert. of Oceupancy:.S-S"': (-)0
eter Base Final' SIte L 00
P. R.I. F.: / ..2. 'fill Additional Fees
TOTAL/ lid- f;z.,'Y..<Yd
BUILDER
OF
RECORD:
NAME:
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
&. PROJECT
INFO:
LOT #: 2 a-( SUBDIVISION NA[ I..
ADDRESS OF CONSTRUCTlON:
W,;..
G^-/"t. "'C.....-
SEWER UTIlITY
PROVIDER:
~
WATER UTIUTY
PROVIDER:
C (I< W f)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLA.N COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
~STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
PHONE:,?.,.- (-2. '7 (z
FAX: )/'((
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FAX; . !\\I \ II
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PHONE:
em:
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ZONING:
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SQUARE
FOOTAGE:
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TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
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Plumber's Indiana State Lic
I () r 'j.J 'i
se #:
Which plumbing codes will be applied to the construction:
CQ-ftftemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
{;...LC -07
D.te
# Charged Re-
ReViews
S:PermltsjFormsjILP RESIDENTIAL
Fee ReceIved by:
Date