HomeMy WebLinkAbout07080014 Application'1 'vv Permit #: 160 a??
City of Carmel/Clay Township
- , RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home. & Two Family: New Structuresr Additions, Remodelsr & Accessory Structures
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BUILDER'S EMAIL ADDRESS: ?/,?
- BEST ETHOD OF CONTACT: /
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PROPERTY NAME: PHONE: I r FAX:
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STREET ADDRESS:
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LOCATION LOT SUBDIVISION NAME: I / SECTION:
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PROJECT
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INFO: ADDRESS OF CONSTRUCTION:
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FOOTAGE:
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SEWER UTILITY
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PROVIDER: C T
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PROVIDER: ESTIMATED COST OF CONSTRUC
(EXCLUDING LAND VALUE) TION:
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
OR SEPTIC PERMIT #'S (IF APPLICABL
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NUMBERS; TAC DATE(5); AND/OR COUNTY WELL A
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FLOOD ZONE AREA DESIGNATION(S)
TAX MAP PARCEL #: /?
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FOR THIS PROPERTY:
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TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: fJ Vs N&
6l SINGLE FAMILY L-? - EW STRUCTURE ,r . z F 3n.i /.A `,+"??•'%?z
O TOWN HOME ? ROOM ADDITION(S) plum is Indiana State License #:
? TWO FAMILY O PORCH ADDITION(S)
# of units being ? DECK ADDITION(S) 77
constructed at this r_-, REMODEL Which plumbing codes will be applied to the construction:
time: _ Basement Finish only
O RESIDENTIAL (For O ACCESSORY BUILDING V4ntemational Residential Code w/Indiana Arnenciments
Additions. Remodels. Etc.) O DETACHED GARAGE 0 Uniform Plumbing Code w/Indiany?,6mendments
C• ATTACHED GARAGE r. yr
L: DEMOLITION ?I `"?9 "
PROJECT INFORMATION: FOUNDATION TYPE: A Yll th capply for the new
Early Release nufactured 'i-,,< construction /ate all tDOV
Permit: _Y _N Trusses: _Y _N 66 ???631 BIOCNTPIP+v Cta??C? ?S`l _PIER
Lot Split: _Y Sump Pump: VY N ?LG'1?RmeFldE(d?l?mAQ Y_N)
Oct For Single Family and Two Family dwellings, additions, remodels, and/or accessory s crates, d ? construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of p r`y?`p,? nths of the issuance date. Class 1 -Ceq IQ,
structure permits are subject to the General Administrative Rules of the Stare o(Indian ?? 0;1 u'ation time frames for beginning and
1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or aD1'non of a strucrum 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 I.C. 36.7 et seq, General ..Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify thar 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 Cerd6"re of
Occupancy has been issued y the Department of Community Services, Carmel, Indiana
i/0e CA (I C I ? _U
c r n. nuM.T nt Date
OFFICE USE ONLY: xxx******x************x**xxxx**xxx*x***x***xxxx***xxxzx **x****xxx***xx**********
CTIONS REQUIRED: Filing Fees: Q # Charged Re-
Upper Footin _ o er Footin rider Slab Base Inspections: Reviews
Cert. of Occupancy: SS'
Rough In eter Base of a Site
P.R.I.F.: Additional Fees
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Reviewed/ApproOed: Dept. of Community Services (Da*.e)
S:PamRS/FamtsIILP RESIDErmAL Fee Re- ceiveYG', Date