HomeMy WebLinkAbout07070095 Application
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit #: 0707()(JiS
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME:
D
STREET ADDRESS:
CITY:
STATE:
I
ZIP:
'Ii :17<1
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s
BEST METHOD OF CONTACT:
STREET ADDRESS:
T€
CITY:
I
IS
lOT #:
J
SUBDIVISION NAME:
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SEWER lfTIUTY WATER UTIllTY
PROVIDER: C PROVIDER: C A
NAME OF lfTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUmY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
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TAX MAP PARCEl! #: .=--=. ':.:..-:... :.=-=__1 , '- ~ '
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TYPE FIMP OVE J~c/1St:DP);:~MBINGCONT~crOR: JUL 1 2 2007 !,'II/I
NEW STRUCTURE ~OCO!hP1lfiPcE~ LlI ~Lj/
o ROOM ADD., I .... 0, StilthilifJer'fJnc License'#:--, j =
o PORCHAD s, OFC <in,~ 'nfi// 'ION
o DECK ADD S/f)F C 0 ril!/J,.~ re
o REMODEL F' 'h I)qAtl1JW.h~'C q~5 will be ~~pIied to the construction:
_Basement InIS ony ......1.. ("l ot::PI/
o ACCESSORY BUILDING IN r JI'lt~~ti'l'l'lr R\!6@~al Code w/Indiana Amendments
o DETACHED GARAGE A.^/ A ' UIAJA/.n.._ .
o ATTACHED GARAGE 0 ul'AA>rm Plum51'1l1l1'91j9 w/Ind,ana Amendments
o DEMOUTION FOUNDATION TYPE: (Check all that apply for the new
construction area)
FLOOD ZONE AREA DESIGNATION(S)
FCR THIS PROPERTY:
TYPE F CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Earty Release
Permit:
Lot Split:
_y-4
_Y~N
~_N
LY_N
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB cif"BASEMENT (WAlKOUT:_Y ~)
Manufactured
Trusses:
Sump Pump:
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 pennit, 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.
1. 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 - 199r (Z~
289) and amendments, adopted under authority of r.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
o upancyhas been issued by the Department of Community Services, Carmel, Indiana.
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7/9./D7
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OFFICE USE ONLY: **************************************************** ~***9**
Filing Fees: (/ 3) ,
c-2 rf 7 :::-0
S'$"". 5'0
( J G I 0 0 Additional Fees
~~~~3760
Fee Received by: Date
Print
b
Base Inspections:
# Charged Re-
Reviews
Cert. of Occupancy:
P.R.I.F,:
Dept. of Community Services
S:Permlts/FormS/ILP RESIDeNTIAL
(Date)