HomeMy WebLinkAbout07080026 Application
'City of Carmel/Clay Township Permit #:D70'300;;.,&
.
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:
LOT #:
J
ADDRESS OF CONSTRUCTION: /6
WATER LmUTY
PROVIDER:
NAME OF UTIlITY EXCA ON RACTOR;' PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~NGLE FAMILY
'C}..TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc. J
TYPE OF IMPROVEMENT:
~ STRUCTURE
---0-. ROOM AOOITION(S)
o PORCH AOOITION(S)
o DECK AOOITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Early Release
Permit:
PROJECT INFORMATION:
"~~
Manufactured
Trusses:
Sump Pump:
-yJ
'\P _N
Lot Split:
---,
AUG 06 ZQ07
PLUMBING CONTRACTO
Plumber's Indiana tate Licen5e~:
'IF //o/c, If ()
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
~ Uniform Plumbing Code w/Indiana Amendments .~
FOUNDATION TYPE: ~~ all that apply for the new
construction area) f:J~, 0<:-; I
o C~~~~\)\I>'b POST & BEAM _PIER
~:~~~_S~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory_s~e~~~ ~d ~ struction commences within 180
days of the date of issuance of the building permit, and must be comPleted~C r~~~~Jg~i;~ '~n is-fuonths of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the St . ~(~~" I~Ti:~ expiration time frames for beginning and
completin ct()h. 00 ~\ '
I, the undersigned, agre a any structi, reconstruction, enlargement, relo non, or a t ~on 0 ~ change in the use of land or structures
requested by this, pp' ation 'I omply wit ,and conform to, all applicable laws of th~t~lqdi~ oning Ordinance of Carmel Indiana - 1993" (Z-
289) and am~n e s, ado e nder author of I C 36,7 et seq, General Assembly ~t~f~dlana, ah'd all Acts amendatory thereto I further certify that only
kltthen, ~ath, door d n connette to the "mtary sewer I1mthercertify t ~~strucuon will not be used 0< occupied unt~rtifjc!e of 7
Occupancy as en 1 ed y the Dep tment of Commuruty Semces, Cannel, I a
;: J. b (j)(P 0
Si Print te
)'0
P.R.I.F.: / ,;}.(,/ {JrJ
~ T':t $./730 80
Fee etelVedbk . ~/ 8--/~:07
I
Reviewed! App Dept. of COmmunity Services
S:Permlts/FormsjILP RESIDENTIAL
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