HomeMy WebLinkAbout07080244 Applicationl? of caq??
Re'' City of Carmel/Clay Township Permit #:
RESIDENTIAL EvIPROVEMENT LOCATION PERMIT APPLICATION
emcxn.%^ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAVE:,
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RECORD: STR ET ADDRESS' \
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BUILDER's EMAIL ADDRESS: BEST METHOD OF CONTA ?? _ ?_ ^
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PROPERTY PHONE' FAX:
OWNER:
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LOCATION LOTS: SUBDIVISION ME: sUE
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INFO: ADDRESS FCON ON: ` \
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FOOTAGE: A7
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SEWER L1TY WATER ESTIMATED COST OF CONSTRUCTION:
PROVIDE PROVIDER: (EXCLUDING LAND VALUE)
NAME OF UTILITY EX ATION CONTRACTOR; PLAN COMMISSION / BZA / e DOCKET , `
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT 4-'S IF APPLICABLE): '¦t J)
ROOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL X: 78
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
I8.' SINGLE FAMILY
D TOWN HOME
D TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL(For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y/ry
Y ?.N
TYPE OF IMPROVEMENT:
D NEW STRUCTURE
ROOM ADDITION(S)
9r1 PORCH ADDITION(S)
D DECKADDITION(S)
D REMODEL
_ Basement Finish only
D ACCESSORY BUILDING
D DETACHED GARAGE
ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: -
Sump Pump: Y _N
PLUMB NG CONTRACT LQOZ 0 £ qnd
Wilx Plum er's Indiana State Li ?
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
-) CRAWLSPACE D POST & _ BEAM -PIER
t SLAB D BASEMENT (WALKOUT Y_N )
For Single Fancily and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences,+ithin 180
days of the date of issuance of the building permit, 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 6751AC 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 to the use of laud or structures
requested by'_'ais application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Camel Indiana -1993" (Z-
289)and dments, adoy?t ytndthority of LC. 35-7 et seq, General Assembly of the State of Indiana, and all Acts arendatory therein. I further certify that only
l:itche and floor d ms a e c n cted to the sanitary sewer. I further certify that the construction will not be used or occupied until a CerdRcate of
Occ has been issu d Me De car et of communityServices-Carmel, lndiana.
R-z9 -,'-
Date
OFFICE USE ONLY: *s*s**************s*****************************e.a.a?==::a<a«==. ....._+...........__?
INSPECTIONS REQUIRED: Filing Fees: C
Base Inspections:
Footin Lower Footing Under Slab ??ZTSd * Reviews Pe-
Cert. of Occupancy: S S• S?
ough In Meter B e Final Site
P.R.I.F.: Additional Fees
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Review ov Dept m ity Services (Date)
S:Pennits/Fonny7LP ZESIDEN L `C
Fee Received by; Date