HomeMy WebLinkAbout07100117 Application'sg o''u af. 07/at/ 117
City of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
ho nq> For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory'Structures
BUILDER NAME.
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Lk E: FAX:
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RECORD: STREET ADDRESS:
C) . cat 8q CITY: STATE:
C8 rtzdd :rn.4 i ar3 ZIP:
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BUIL?PpERS EMAIL ADDRESS: BEST METHOD OF CONTACT: o erg ° L19 cm
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PROPERTY NAME: PHONE: (ce 1) -FA IT Cf eme-
OWNER: 4 Q- a o S-3
STREET ADDRESS: CITY. , STATE:
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LOCATION . LOT #: SUBDIVISION NAME: SECTION: ZONING:
& PROJECT LW
INFO: ADDRESS OF CONSRUCTION:
/ . J
L
z SQUARE
FOOTAGE: 3 t
SEWER UTILITY
PROVIDER: U
r - P, - 11 WA
TER UTI
PROVIDER: LITY ESTIMATED COST OF CONSTRU ON:
l - (EXCLUDING LAND VALUE) 15-0)
OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA /
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT
I •?
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY: U U] MAP PARCEL
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TYPE OF CONSTRUCTION:
L? SINGLE FAMILY
N
? TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions. Remodels. Etc)
PROJECT INFORMATION:
Early Release
Permit: _Y N
Lot Split: _Y _N
NEW
? PORCH ADDITION(S)
0 DECK ADDITION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses:
Sump Pump:
_Y V N
?Y N
U
Which plumbing codes will be applied to thdEConstruction:
CJ 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 ? POST & _ BEAM -PIER
? SLAB ; BASEMENT (WALKOUT: ?,Y ___N)
Do
For Single Family and Two Family dwellings, additions, remodels, andtor accessory structures, this permit is salid only if construction commences within 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 Admire ivsRules of the State of Indiana (See 6751AC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree drat any construcC , reconstructioq enla ement, refocacion, or alterarion o[ a structure, o: any change in the use a; lane or sm?ctures
requested by `-'tis application will compl ith, and conform to, all ap licable laws of the State of Indiana, and the 'Zoning Ordinance of Carmel Indiana - 1993" (Z-
289)and endirenis, ad ted under thoriry of LC. 36-7 et seq, Ge eral Assemvy of the State of Indiana, and at! Acts amendatory therxto. I :urther certify that only
r. d s are c ected to the sanitary sewer. titer certify that the construction will not be used or occupied until a Certificate of
he [. and fl
lu¢
Occu ev 6e ssu b • e De t of u s, Carmel, Indiana.
I?a?nd rn?sS I?I?81??
a.. . a:r.r 1 rl Print Date
OFFICE USE ONLY: **********
in
IRE Filing Fees:
a Charged Re-
5 LAW
Base Inspections:
4 Under Slab Reviews
Cert. of Occupancy:
Foal Site (I/ - D0 P.R.I.F.: Additional Fees
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Reviewed/Approved: Dept. of Community Services (Date) `e?'
S:PennrWFIXMVTLP RESIDENTIAL Fee Received by:
Date