HomeMy WebLinkAbout07100046 Application
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?:. City of Carmel/Clay Township Permit#
1 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
HO pya j For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME.
/"I PHONE:
f 6 Z, FAX:
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OF
RECORD: STREET ADDR S:
O Z>? p CTY: STATE: ZIP:
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BUILDER'S W IL ADDRESS: BEST METHOD OF CONTACT :
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PROPERTY NAME: PHONE: D
OWNER: 1
STREET ADDRESS: CITY: P T ' ZIP:
I OCT - _
LOCATION LOT SUBDIVISION NAME :
Pk SECTION: ZONING:
& PROJECT J?OI
y
INFO: ADDRESS OF CONSTRUCTION:
L SQUARE
FOOTAGE:
y'py
3
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1
SEWER UTILITY s WATER UTILITY
PROVIDER: CT.? k1, J PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) 2 / (J v U
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION/ BZA / BPW ET, .. f.
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NUMBE %TAC DATE(SJ; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE)..,
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FLOOD E AREA DESIGNATION(S)
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; ,;'FA7f?•tAP PARCEL
FOR THIS PROPERTY: _
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TYPE OF CONSTRUCTION:
C3 INGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFOR
Early Release MATION:
/
Permit: Y
Lot Split: _Y _N
PE OF IMPROVEMENT;
T
Y
A
STRUCTURE
? ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
? REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION,
Manufactured
Trusses: 1/y _N
Sump Pump: t! Y _N
fO
Which plumbing cods htAapPl'led to the construction: e??B
ti
ntemational Residential Code w/Indiana Amendments
D Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACEE? O POST& BEAM-PIER
LAB LXBASEMENIT(WALKOUT:_Y
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 160
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. Gass I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a stricture, or anv change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the Site of Indiana, and the "Zoning Ordinance of Carmel Indiana- 1993" (Z-
289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory [hereto. I further certify than 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 Cera6care of
Omupancyhas been Issued b the Department of Community Services, Carmel, Indiana.
5' nature of Owner or AuM Agent Ant Date
OFFICE USE ONLY:******xx*********xx****xx*******x******x********xxx***x:****** *****.****xx*****
INSPECTIONS REQUIRED: Filing Fees: Base Inspections: [? 8 7, S U # Charged Re-
?tfp Foo g Lower Foo ng Under Slab 5/F Reviews
Cert. of Occupancy:
oughI MeterBtaaw, W inal Si
j?l'?D P.R.LF.: CC// Additional Fees
M.
TOTAL: 023??
Reviewed/Approved: Dept of Community Services (Date)
s: Permas/FO'my1LP RESIDENTIAL Fee Rece by: Date