HomeMy WebLinkAbout07100014 ApplicationVoiWq\ I 1 CW
City of Carmel/Clay Township Permit #:
RESIDENTIAL BIPROVEMENT LOCATION PERMIT APPLICATION
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;pp p For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME:
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?`T? PHONE: \ FAX:
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RECORD: STREET ADDRESS:
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BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY NAME. PHONE: FAX:
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OWNER
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STREET ADDRESS:
1 CITY: -SMTEe: - ZIP:
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LOCATION u )IBv to G,
LOT SUBDIVISION NAME: f 3t-act `EC7IONi???-
ZONING:
PROJECT Z°1 Wlk.-L I APA S ,.,
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INFO: ADDRESS OrCONSTRUCTION:
CITY OF CAi;hR L GL AY
`tb&AGE:
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72
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SEWER UTILITY WATER UTILITY
I ESTIMA D COST OF CONSTRUCTION:
PROVIDER:
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PROVIDER: r ?7 ??
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET (P] rj?
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANWOR SEPTIC PERMIT #'s (IF APPLICABLE): lUl 1J is
FLOOD ZONE AREA DESiGNATION(S)
FOR THIS PROPERTY TAX MAP PARCEL # I
OCT _ 2 2007
:
TYPE OF CONSTRUCTION:
? SINGLE FAMILY
? TOWN HOME
G TWO FAMILY
# of units being
constructed at this
time:
RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
TYPE OF IMPROVEMENT:
O NEW STRUCTURE
? ROOM ADDITION(S)
'X PORCH ADDITION(S)
G DECK ADDITION(S)
? REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Early Release /Manufactured
Permit: _Y LN' Trusses: Y -N
Lot Split: Y ?n Sump Pump: _Y _N
PLUMBING CONTRACTO
r.IIA By
Plumbers Indiana State License #:
Which plumbing codes will be applied to the construction:
L-, 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 -g POsT_&,'6_ BEAM_PIER
O SLAB ? BASEMENT (WALKOLIT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessoy structures, this permit is valid 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 l8 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.
1, the undersigned, agree that any construction, ceconstrucron. enlargement, relocation, or alteration of a strucrure, or an,,, change in the use of land or structu res
requested by this application will comply sv,rh, and conform to, all applicable laws a: the State of Indiana, and the "Zoning Ordinance of Carntel Indiana -1993" (7-
289) and amendments, adopted under authority of LC. 36-: et sec, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a CertlGcatea!
Occupancy has been m Red by the Department of Community Services. Carmel, Indiana.
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees: I ?D, X
-? Base Inspections: # Charged Re-
er Footl Lower Footing Under Slab Reviews
Celt. of Occupancy: 1?5r) - Eb
Rough In eter Base inal Site
Review oved: Dept m ervices (Date)
S: Perm?rslwrms/TrP RESIDENTIAL SCANNED
P.R.I.F.: - Additional Fees