HomeMy WebLinkAbout07080165 ApplicationPermitr?D
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Nome, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME.
H PHONE FAX: J, n - r
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RECORD: SMEETADDRESS: A J { ) STATE::? ZIP:
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BUILDE
R'i EMAIL ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY NAME: PHONE: F AX:
OWNER:
STREETADDRESS: QTY: STATE: ZIP:
LOCATION LOT SUBDIVISION NAME: SECTION: ZONING'
&PROJECT
INFO: ADDRESS OF CO/NSTRUCTION
_ SQUARE I
FOOTAG
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SEWER UTILITY
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f WATER l}l 'IY
PROVIDER ESiI TED COST OF CONSTRUCfIO
(EXCLUDING LAND VALUE)
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PROVIDER: /
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NAME OF UITLTTY EXCAVATION CONTRACTOR; PLAN COMMISSION BZA I BPW DOCKET
T #'S (IF APPLICABLE;:
ANDlOR COUNTY WELL ANDICR SEPTIC PERM
NUMBERS
TAC DATE
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ROOD ZONE AREA DESIGNATION(S) TAX ? L? r[
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FOR THIS PROPERTY:' L J
TYPE OF CONSTRUCTION:
E3-'SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
L11 RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: -Y _N
TYPE OF IMPROVEMENT:
i _,9EW STRUCTURE
? ROOM ADDITION(S)
C7 PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
O DETACHED GARAGE
a ATTACHED GARAGE
? DEMOLITION
PLUMBING CO O 07f II ?? ?• ,
#: ?J f, ?..., `??/S?
Plumber's ndia' ' tat License
which plumbing codes will be applied to the construction:
4}-International Residential Code w/Indiana Amendments?
Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (I that apply for the new
construction area), VOIN7
r?'E`D0`b POGS?& - BEAM -PIER
9V?eAjj UI Y
;an oruction cotnmences wi[Evn Ifi0
1 months of the issuance date. Class I
na I re expirm-o time frames for begirming and
Manufactured f
Trusses: Y JN
Lot Split: Y N Sump Pump; Y N
For Single Family and Two Family dwellings, additions, remodels, andlor ar
days of the date of issuance of the building perrnit, and must be completed
structure permim are subject to the General Administrative Rules of the Scat
completing cons[ dj' ?NS"" ,p,Nr'
I, the undersigned, agree rhat any constrection, reconsLm,non, enlargement. relorati '?rj LYrrulAastrk10 anycliang,B the use cE land or structures
requesredbytins aaplication mll comply vath, and conform to, all apith.ble laws of Indiana,andthe"Zoning Qrdinsnce of Carmel ludTana-1993"(Z-
'89) and amendments, adepted under authoriry? of LC. 36-7 et seq, General Assembly r - e 9ras of Indiana, and all Acu amendatory thereto- I farther ce.-4y rhat on"
!kitchen, bath, and floor dra+rs are connected to the sar_itary sewer. I further' certify that the construction will not be used oroccupied until a Certi{t2ateo!
Occupancyhas been issued by the Department of Commutvry Services, C nel, Indiana.
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OFFICE USE ONLY: ss::************************s*********************s*:??)r**-S****«+?aaa***?xs***s*
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INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: ?y # Charged Re-
Upper Footi Lower Footing Under Slab Reviews
Cert. of Occupancy: 5v ug eter Base Final Site
Mrx
Reviewed/Approv Dept. Of Community Services (DA,te)
s- e,m ,FCnwtrr REMCENTIAL
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P.R.I.F.: Additional Fees
Fee Received by: Date