HomeMy WebLinkAbout07100035 Application'"``' City of Carmel/Clay Township Permit #d7/d0?35-
"" RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
aptpap For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER N _
I t)C? PHONE:
317-613 61 FAX:
All
OF
RECORD: = M CITY` STATE:
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BUILD 'S EMAIL ADDRESS: BEST METHOD OF CONTACT: l
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PROPERTY NAM PHONE:
OWNER: S E
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STREETADDRESS: CITY: STA : ZIP:
LOCATION or a: BornstoN E: CTION:
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& PROJECT gm *kt!
INFO: ADDRESS OF CONSTRUCTION:
I SQUARE
FOOTAGE: 3S70 st
SEWER UTILITY ?f WATER UTILITY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: a ,.
da PROVIDER: (EXCLUDING LAND VALUE) --?q?
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
OR SEPTIC PERMIT #'S (IF APPLICABLE):
OR COUNTY WELL AND
D (?
?
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NUMBERS; TAC DATE(S /
); AN
/
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL F:
FOR THIS PROPERTY:
TYPE OF CONSTRU ON:
K SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECKADDITION(S)
REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
/
Early Release -,.Manufactured
Permit: _Y N Trusses: _Y N
Lot Split: _Y- N Sump Pump: _Y
PLUM BIN CONTRACTOR:
NIA
Plum 's Indiana State License #\\?\»>
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)
O CRAWLSPACE ? POST & BEAM -PIER
jg7J SLAB ? BASEMENT (WALKOUT:_Y_N )
For Single Family aa9A o Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and most 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 LAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, reconstrumon, enlargement, relocation, or alteration of a structure, or any change in the use cf land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z-
289)and amerdon Its, adopted under authority of I.C. 367 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I furher certify that only
kitchen, bat ,and floor drains aceP]{?nnected o the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occup yh. been issued t e Dep ent of Community Services, Carmel, Indiana 'r Signa[u o ner or0. Aqe / Print ' Date
OFFICE USE ONLY: ********«.******air***? *****s**** **:*:************»****.{.te**?***x******? »<*****
INSPECTIONS REQU / , l(?? Fili Fees: A Charged Re-
Upper Footing Lower F Under SI e e Inspections Reviews
ert. of Occupancy:
ough In Meter Base Final Site
P.R.LF.:T Additi nal Fees
/Q'IS?J OTAI 3GC-_6
Review roved: D omrriunity Services (Date)
s:PemsWFanas[K PESIDF MA Fee Rece ed tN: Date