HomeMy WebLinkAbout07090132 Applicationl-
r v? City of Carmel/Clay Township Permit
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
rMOfRnp/ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. PHONE: Yl FAX:
-Z y 6 Z 6- yZz
OF
RECORD: STREET ADDRESS STATE: ZIP:
BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT:
1027 '? C.
PROPERTY NNE' PHONE: -Lr .CU' Ji ¢ :,jest It: compliance Wim aFlfregulationS
OWNER:
h ,.
STREET ADDRESS: CITY: -n.l f.. CO"A tITY SERVES
", nn
LOCATION LOT SUBDIVISION NAME
& PROJECT /Y
INFO: ADDRESS OF CONSTRUCTION:
SEWER UTILITY
PROVIDER:
A
WATER UTILITY EMMA
PROVIDER: rA AE yI e / (E)(CWI
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZAI BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT s5 (IF APPLICABLE):
FLOOD ZONE AREA
FOR THIS PROPER
709013]
DINGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVE_M_F ITT:
cIEw STRUCTURE
O ROOM ADDITION(S)
PORCH ADDITION(S)
u DECK ADDITION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
PROJECT INFORMATION'
Early Release , J/ Manufactured
Permit: Y _ i N Trusses: `?Y N ,`p.
Lot Split: _Y Sump Pump: lY LSWIA.r1
, A I ZONING:
C9N U O?
D VALUE)
r
i
o
M,P
APPARAI
SQUARE
GE:
s
Uo
-_/ 01?R ri Cl
Which plumbing codes will be applied to the construction:
ntemational Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
L?s-onRAWLSPACEE O POST & _ BEAM -PIER
( SLAB L9?BASEMFIJT(VIALKOUT:_Y _±?<)
For Single Family and Two Family dwellings, additions, remodels, andlor accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building perndt, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class 1
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 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 any change in .he use of land or structures
requested by this application will comply with, and confom to, all applicable laws of the Stare of Indiana, and the -Zoning Ordinance of Carmel Indiana -1993' (7-
289) and amendments, adopted uneer authority of I.C. 36-7 et seq, GeneraLAssembly of the State of Indiana, and all Acts amendatory thereto. I further certify that 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 Certificate of
Occupanevhas been issued by t e Department of Community Services, el, Indiana. -0?
Shna ifeafowaerorAutarizedAgeat Pnnt Cate
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Filing Fees: J
Base Inspections: (?? Q A Charged Re-
_ Reviews
Cert. of Occupancy: S
P.R.I.F.: 1,26160 Addidonal Fees
7 TOTAL:
/b ?f C
Fee Received by: D Ste
OFFICE USE ONLY: ****************