HomeMy WebLinkAbout07100177 Application
City of Carmel/Clay Township
Permit #: / cO /
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE; FAX:
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ASEP FOR CsW*)
STREET ADDRESS: crVE.LF
RECORD: -
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BUILDERS EMAIL ADDRESS:
PT OF ll??f ((?? LT
NAME: POM OF CARMEL
'LAY
PROPERTY IND ANT 26 2007
OWNER
:
STREET ADDRESS: CITY: STATE: ZIP:
B
LOCATION - LOU SUBDIVISIQN NAME: SECTION:
A ZONING:
PROJECT \(I JkW,Q
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INFO: ADDRESS OF CONSTRUCTION:? F ?C3 R '??
(A ?e SQUARE !?
FOOTAGE: v
SEWER UTILITY
PROVIDER: CT't W 0 WATER UTILITY /'
PROVIDER: ` cC?? G/ ESTIMATED COST OF CONSTRUCTION: e O
(EXCLUDING LAND VALUE) Q-Q Q
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S), AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) -+-07-1 OO 170 TAX MAP PARCEL #:
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y _N
_Y _N
TYPE OFIMPROVEMENT:
N4? NEW STRUCTURE
O ROOM ADDITION(S)
? PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
_ ACCESSORY BUILDING
DETACHED GARAGE
O ATTACHED GARAGE
?E, DEMOLITION
Manufactured IN
Trusses: Sump Pump: Y For Single Family and Two Family dwellings, additions, rem
days of the date of issuance of the building permit, andrmv
structure permits are subject to the General Ad stradve
I, the undersigned, agree that any construc ' n, reconstruction,
requested by this application will comp) ith, and confonr'. to,
289) and amendments,adopted under arbority of I.C. 35.7 et s
kitchen, bath, and floor chains are co ected to the s "tart' s
Occupancyhas been issued by th eparmrent of C tut
PLUMBI t CONTRA ?J
?) I Q CTk-
Plumbers Irtdiarta StIT sse #:
Which Which plumbing,'/ codes will be applied to the construction:
nternational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
I_?Y WLSPACE O POST & _ BEAM -PIER
O SLAB O BASEMENT (WALK0UT:--Y---1T1
and/or accessory structures, this permit is valid only if construction commences within 180
(Certifinte of Occupancy issued) within 18 months of the issuance dace. Class I
om
eted
Of the sta of Indiana (See 675 LAC 12) regarding expiration time frames for begiruting and
completing nswction.
;Out, reloca on, or aheration of a stro tune, or any char-ge L? the use of load orsr. ucmres
:likable la.vs of he It o[Indiana, and the'Zarm Ordinance of Carmel Indiana -1993
fetal Assembly f the State of Indian a, and all Acts amerdatoty thereto- I Eutthec ce¢if}• that only
rrther keno at the consrructlon will not be used or occupied .11 a Cerri&caIt of
/d 2,
Da.
OFFICE USE ONLY: ***************7 ****** **'
INSPECTIONS REQUIRE//D:
Upper Footin Cower Footin Under ab
Rough I Meter Base final /Si'te1/?
R Approve pt. of Community Services (Date)
S:Pennlts/F? Mu`!'? RESIDENTIAL
Filing Fees:
Base Inspections: S 0 A Charged Re-
Reviews
Cert. of Occupancy:
P.R.I.F.:
TC
Fee Received Y:
Additional Tees
Date