HomeMy WebLinkAbout07070142 Application
City of Carmel/Clay Township Permit #: 01070 t!d~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOU Itu
SEWER UTILITY
PROVIDER:
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FAX Or-
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ZIP
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PHONE
FAX
CITY
ZIP
STATE
SECTION
2
ZONING:
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SQUARE "<,
FOOTAGE: /2 r):f>
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NAME OF UTIliTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FOUNDATION TYPE: (Check all that apply for the new
o N construction area)
,~ O/t)<AWLSPACE 0 POST & BEAM.-,'ON
Lot Split: _Y _N Sump Pump: ~ _N Gl-"!;LAB r___~~GII. lIS
Does any part of the property lie within a special Flood designation area: ,r<;)~WR~i<!ll~:regU\a.'\P ~N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory stru . ;y~gd:Iii!~~~Xffl9~ijf\tM~A.~~en'ces
within 180 days of [he date of issuance of the building permit, and must be completed ( ~'f'tit'icatedf~_~~ ~~~~tlilf~~ljt!t-\tPhl; II
issuance date. Class I structure permits are subject to the ~enera1 Administrative Rules of the StMC ~\D-~t).~tt :tyl~Jt{g)MI~kpir.atiOIi
time frames for beginning and completing cot)eR~olt' ,l Q~E.\... , \ ~~' I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or altej.i~G'itrGtgte~ or..a~~N:~.l.b.~_use,ofJandor
structures requested by this application will comply v..-'ith, and conform to, all applicable laws o~state of lnd~~a, a~\:1aHrl~Zoning Ordinance of Carmel
Indiana - 1993" (2-289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further d:rtify.thanhcconstruction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Sig ture of Owner or Authori d Agent pljri't Date
OFFICE USE ONLY: *********************************************~*;!*/***~****************
Filing Fees: ' /{Z'L ;?U
INSPECTIONS REQUIRED: -, J7_ ~O
Base Inspections: 7- 0 -" J # Charged Re-
wer Footing Under Slab ~ ~h Reviews
~ 9 Cert of Occupancy: :5 J 'J V
Final Site / ,1/'1 A A-
_' P.R,LF,: Cl'- U, (/ U Additional Fees
C ~E-J;fJ ~~:?u.~d
TYPE OF CONSTRUcnON:
D-SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_Y
TYPE OF IMPROVEMENT:
Q--"NEw STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
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Plumber's Indiana State Lie
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Manufactured
Trusses:
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