HomeMy WebLinkAbout07110043 Applicationbt3?,?
Permit #:n-7/1
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCA N PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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BUILDER NAME: / PHONE:
9/5 - FAX:
OF a'4k e,u J GTH O S
RECORD: STREETADDRESS: CITY* I STATE:
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BUILDER'S EMAIL ADDRESS: BEST M
PROPERTY NAME. PHONE:
OWNER
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STREET ADDRESS: S`blP S CITY. STATE. ZI P.
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LOCATION rr
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INFO: ADDRESS OF CONSTRUCTIO C Opt. nd? fl/7
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FOOTAGE:
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SEWER UTILITY
PROVIDER: C T1-- WATER i m?A?t /
PROVIDER: O eS di MATED COST OF CONSTRUCTION:
CLUDING LAND VALUE) ?O (J a
000.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION (BZA Pw CFS /_
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APP.I /?
FLOOD ZONE AREA DESIGNATION(S) ' O' `I 1 00+ 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
_N
Permit: Y
Lot Split: _Y N
TYPE OF IMPROVEMENT:
_y nEW STRUCTURE
? ROOM ADDITION(S)
D PORCH ADDITION(S)
D DECKADDITION(S)
REMODEL
_ Basement Finish only
D ACCESSORY BUILDING
D DETACHED GARAGE
G ATTACHED GARAGE
DEMOLITION
Manufactured
Trusses: 7/ N
Sump Pump: _t!fY?__N
PLUMBING ON RACTOR: Ct?
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Plumbers In Tana State License #: C
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Which plumbing codes will be applied to the construction. ,-r#
international Residential Code w/Indiana Amend
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
C'YCRAWLSPACE O POST & _ BEAM -PIER
CISLAB _?BASEMENT (WALKOUT:_Y
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the daze of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS months of the issuance date. Class 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.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Otdieance of Carmel Indiana -1993" (Z-
289) and amendments, adopted under authority, of I.C. 3&7 et seq, General Assembly of the State of Indiana, and all Acts ?m tq?, urther cerdfq' that only
kitchen, bats, and floor drains are connected to tie sanitary sewer. I further certify that the construction will no[ ed or oceupied until a Cerd6c to of
Occuomcyhas been issued b e Department of Community Services, Carmel, Indiana.
of mwner or
OFFICE USE ONLY: zz**t**zz*****z**************z***********zzx***zzzz*zzzz r...*t************zzzzzx
Filing Fees: TM F
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edlRe-
IINSPEMONS REQUIRED: Base Inspections: Reviews
Cert. of Occupancy:
00
P R I F : Additional Fees
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