HomeMy WebLinkAbout07100179 Application.....,Permit : orl lot)
_ City of Carmel/Clay Township
RESIDENTIAL VVIPROVEMENT LOCATION PERMIT APPLICATION
`. xda?f• For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME PHONE:
2?"S ?1 SoJ FAX:
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RECORD: STREET ADDRESS:
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ER'S EMAIL ADDRESS:
BUILD
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METHOD OF CONTACT:
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PROPERTY
NAME'
PHONE: ?m
WNER
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STREET ADDRESS IO
CITY: I
LOCATION
PROJECT LOT #: SUWMSiON NAME: 44.-
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INFO: ADDRESS OF CONSTRUCTION: By E.
SEWER UTILrrY
PROVIDER: C? / WATER UTILITY
PROVIDER: _ ESTIMATED COST OF CONSTR
(EXCLUDING LAND VALUE)
t ON:
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET I
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AP
PLLICABLE):
NUMBERS; TAC DATE(S); ANDfOR COUNTY WELL AND/OR SEPTIC PERMIT ##IS (I
FLOOD ZONE AREA DESIGNATION ) t
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?i SLS SPEV liance wit
11 [? I ?I"? Q
may' 1 V
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FOR THIS PROPERTY: - trJ Cofnq r
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TYPE OF CONSTRUCTION:
Z;?INGLE FAMILY
O TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL(For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: ,„s_-) _YX
Lot Split: ? _Y _N
TYPE OF IMPROVEMENTAt ?1P`v
0r10Ew STRUCT T.GF
O ROOM ADD 11V:.131 '
O PORCH AD (g)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Manufactured ,, ///
Trusses: ]IN
Sump Pump: Y N
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p1 ndlana State License #1 -'QQ
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lv ?Cl / -77
Which plumbing codes will be applied to the construction:
Q'ntemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
"CRAWLSPACE??0 POST & _ BEAM -PIER
d??LAB CdiBASEMENT (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 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 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,appliationwilt comply with, and conform to, afl applicable laws of the Stale of Indiana, and [he "Zoning Ordinance o`_ Carmel Indiana -1993' (2-
289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and door drains am connected to the sar_itary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyhas been issued the Department of Community Services, Carmel, Indiana.
Pont Date
OFFICE USE ONLY *xxxsxxxxxxsxxx*xxxxxxxxxxxxxxxxxxxxx::===.________._? ---
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Filing Fees: +
SPECTIO QUIRED:
Base Inspections: ? 7
C
t2 g Sid
# charged Re-
Rev ews
Upper Footi ower Foo ing U er Slab 55
5
Cert, of Occupancy: ,
\ Rough Met r mal Si P.R.I.F.: n / Q
11. °? f2 I r Additional Fees
view ( pprFved: . of unity Services-(Date)
r?tP aESI TOT
Fee ecelved by; AL: d
Date