HomeMy WebLinkAbout07110116 Application??p C9gd? Permit #:0-7 "Q11
MT'City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
,;aaa For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF "A" PHONE:
L I 0irnE7S S1 FAX:
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RECORD: SKEET ADDRESS: )
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BUILD R'S EMAIL ADDRESS:
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PROPERTY NAME: PHONE: i FAX:
OWNER 2
:
STREET ADDRESS: CITY: ZIP:
LOCATION
&PROJECT LOT D5 _ SUBDIVISION NAME:
O --IW 111 ?CZLIiLFOP-D 4":z
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INFO: ADDRESS OF CONSTRUCTION: D,z ==
FOOTAGE: JLJ
SEWER Uii
PROVIDER: WATER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRU O:
I y, I 5q
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET (y--
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): A 1 S t?-I ?6 GQ- ex C'
FLOOD ZONE AREA DESIGNATION(S) ?7 0 4, 0?
FOR THIS PROPERTY: lx, 1 -7 -09 -30 TAX MAP PARCEL #: ?? 03 05 (,? ??
TYPE OF CONSTRUCTION:
O SINGLE FAMILY
!?"TOWN HOME
D 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
TYPE OF IMPROVEMENT:
Q-- NEW STRUCTURE
O ROOM ADDITION(S)
? PORCH ADDITION(S)
? DECK ADDITION(S)
O REMODEL
_ Basement Fink
? ACCESSORY BUILD',
? DETACHED GARAGE
? ATTACHED GARAGE
O DEMOLITION
Manufactured
Trusses: ?Y _N
Sump Pump: _Y I! N
PLUMBING CONTRACTOR:
H-AY1 M °I- ?` 0 ti1S
Plumbers Indiana State License
Vhich plumbing codes will be applied to the construction:
International Residential Code w/Indiana Amendments
Q' nnifonn Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
O CRAWLSPACE O POST &_BEAM _PIER
Ud' CR SLAB O BASEMENT (WALKOUT: Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid roily if construction commences within 180
days of the date of issuance of the building permit, and must be campleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 6-75 IAC 12) regarding expiration time frames for beginning and
completing construction.
1, the undersigned, agree that any construction, reconstruetfon, 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 Ordinance of Carmel Inciana -1993" (Z-
269) and amendments, adopted under authadty of I C..36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I furr'ner 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
Occupancyhas been issued by the Department of Community Services, Carmel, Indiana.
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FICE-SE ONLY:
INSPECTIONS REQUIRED: Filing Fees: ?? Old `Y
Base Inspections: charged ar
Upper Footi Lower Footin octet Sla 5Jr 5o Reviews
Cert. of Occupancy:
ough titer Ba" I Site
Reviewed/Approved: Dept. o('Community Services (Date)
S:Perrlty'F9mNHS RESIDENITAL
P.R.I.F.: L rl Additional Fees