HomeMy WebLinkAbout07090099 ApplicationCity of Carmel/Clay Township Permit #0
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
?;,toionn`/, For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
F NAME: PHONE: FAX: 2-2-
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RECORD: STREET ADDRESS: Cm• STATE: ZIP:
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BUILDERS EMAIL ADDRESS: n BEST METHOD OF CONTACT:
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PROPERTY
WNER NAME' PHONE: FAX:
RELEASED FOR CCNSTR(JCTION
:
O cmSubject to COmpliangyq#?!h all reg11 aLjpps
STREET ADDRESS:
of State and Local Codes.
LOCATION LOT #: ?2Q y 5UBDIVISIONNAME: !
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PROJECT
& INDIAN SQUARE
INFO: ADDRESS OF CONSTRUCTON:
Ck
FOOTAGE: 6-/
SEWER UTILITY WATER UTILITY
PROVIDER: C ct-fk;2 PROVIDER: J?1 -C ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ?Z Q Ud
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET ,J J / ((717 l?j? t?
E)
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OR SEPTIC PERMIT #'S (IF
TY WELL AND
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APPPPLICABL
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NUMBERS; TAC DATE(S); AND/OR COUN
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ROOD ZONE AREA DESIGN TION(S) V O /(! e A% MAP PARCEL
FOR THIS PROPERTY' n SEP 2 1 0 cd
TYPE OF CONSTROCCTION:
NGLE FAMILY
0 TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc)
TYPE OF IMPROVEMENT:
DREW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECKADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
D DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
PLUMBING CONTRA Y ?? AZ
Plumber's Indiana State Li ense #: it A,
Which plumbing codes will be applied to the construction: nli'?
ntemational Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
PROJECT INFORMATION:
Early Release)
Permit: w„II Y_ N/
Lot Split: ? Y _N
Manufactured
Trusses: N
Sump Pump: _Y _N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
0 CRAWLSPACEE O POST BEAM _PI R
2r SLAB O'- BASEMENT (WALKOIIf:YN )
For Single Family and Two Familv dwellings, additions, remodels, and/or accessorystructures, this permit is valid only if construction commences within 180
days of the dam 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 675 LAC 12) regarding expiranon time frames for beginning and
completing construction.
I, the undersigned, agree that any construcion, reconstrurion, enlargement, relocation, or al-eracim of a structure, or any change in the use of land or structures
requested by _his application will comply with, and conform to, all apphcable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
239) and amendments, adopted under au on f I C_ et seq, -e. egl Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify :hat only
kitchen, ba[h, and floor drains are connected tat arn ary sewer. I fur *r certify that the construction will not be used or occupied until a CertiEcate of
Occupancyhas been issued by the Depattm of Communf y rvicesarmel, Indiana.
O CK Date r- Z - d
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OFFICE USE ONLY:
ssennltsi y sfilD RESI[*tt L
Filing Fees:
Base Inspections: 7 SO # Charged Re-
Reviews