HomeMy WebLinkAbout07110143 Applicationii of fa:?.u\,
City of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
_Pa, r For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME. PHONE: FAX:
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RECORD: STREET ADDRESS: CITY: STATE: ZIP:
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BEST METHOD OF CONTACT:
BUILDER'S EEM
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PROPERTy NAME 110 D J PHONE: /f
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ETADDESS: EA: a,-, n CITY: u?iy /Y 27 2? ! P' I
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LOCAWN. - " -- n ail regulation
LOT 0: SUBDM NAMECI Starr and Local re sE
ZONING:
& PROJECT 3q ?? • odes.
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INFO: p
ADDRESS OF CONSTRUCTIO : F ARIVjE ?
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SQUARE
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SEWER LFnLITY WATER UTILITY ESTIMATED COST OF CONSTRUQJON:
PROVIDER: G - n w PROVIDER: e MC ?- (EXCLUDING LAND VALUE) !//P Q r
NM1E OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION i BZA / BPV1 DOCKET
GC9?? ,REAL
PTIC PERMIT Y'S (IF APPLICABLE): ?JCCt' L
.
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SE
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #:
FOR THIS PROPERTY:
TYPE F CONSTRUCTION;
/ SINGLE FAMILY
? TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y 4- N
Lot Split: Y _-KN
TYPE OF IMPROVEMENT:
IEW STRUCTURE
ROOM ADDITION(S)
? PORCH ADDITION(S)
ECK ADDITION(S)
REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
C DETACHED GARAGE
C ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: Y N
Sump Pump: k Y _N
PLUMBING CONTRACTOR:
9 . ({ NA-i_t_;4 f( P?L,a?IUG T,uc.
Plumbers Indiana State License
An 91osl(z?
Which plumbing codes will be applied to the construction:
? International Residential Code w/Indiana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
? CRAWLSPACE C POST BEAM -PIER
? SLAB W BASEMENT (WALKOUT:_Y_X_N )
For Single Family and Two Family dwellings, additions, remodels, andror 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., reconstnction, enlargement, relocation, e- aheration of a structure, or any change m the use of land or structures
requested by this application will comply with, and ccnfo-n to, all applicable laws of the State of Indiana, and the "Zoning Ordinance o: Carmel Indiana -1993' (Z-
289) and amendments, adopted under au-.:7onry of I.C. 36-7 cc seq, 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. I further certify that the construction will not be used or occupied until a Certificate of
Occupmcyhas en is d by the Department of Community Services. Carmel, Indiana.
k, j 4,4/ eX4rb1i(-aS -s o t Al c 6 «L Ey 1 / 7 [?
2 to of Ow A t H Ag r Print Date
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees:
6 u Charged Re-
• Base Inspections: ! Reviews
Upper Footing Lower Footing Under Slab
Cert. of Occupancy:Jr,
Roug Meter Base Final Site)
Additional Fees
P.R.I.F.:
Timr 5gr
Reviewed/Appro4ed: Dept of Community Services (Date)
S:Pem-WFonns(ILP RESIDE L Fee Received tv: a