HomeMy WebLinkAbout07120040 Application;r 4>$ ? %/SOD p
City of CarIndlGay Township Permit .
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE:
S FAX:
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RECORD: STREET ADDRESS: CITY:
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a ZIP:
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BUILDER'S EMAIL ADDRESS: BEST ME THOD OF CONTACT:
PROPERTY NAME: PHONE: FAX:
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OWNER
:
STREET ADDRESS: CRY: STATE: ZIP:
LOCATION LOT #: SUBDIVISION NAME:
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2 ZONING:
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& PROJECT
INFO: ADDRESS OF CONSTRUCTION; t
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SEWER UTILITY 9 SEWER EcY t7 !
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PROVIDER: C7 PR0
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NAME OF UTILITY EXCAVATIONT,R1iROR'PYANCOPIMISSI/ B1'HPV DOCKET
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NUMBERS; TAC DATE(S); AN NTY_WEL. AND/OR'SE
FLOOD ZONE AREA DESIGNATION(S) - 1OWNSHIP.
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FOR THIS PROPERTY: --
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TYPE CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTTAL(For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
Y 5N .
y
TYPlf OF'IMPROVEMENT:
CR? NEW STRUCTURE
? ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECK ADDITION(S)
? REMODEL
_ Basement Finish only
= ACCESSORY BUILDING
u DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: ? N
Sump Pump: !4_N
PLUMBIN CONTRACTOR:
PlumbePs Indiana State License
/1 Il 1JS v0
Which plumbing codes will be applied to the constructbon:
ntemational Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
L?N'CRC WLSPACE O POST& BEAM -PIER
LcSLAB 1 EMENT (WALKOUT:_Yw I
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 IB months of the issuance data Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames forbeginning and
completing construction.
I, the undersigned, agree that any cons -action, reconstruction, enlargement, relocation, or alteration of a sttuaure, or any change in Elie use o[ land or structures
requested Sr this application will comply with, andconfers,to, al applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana-1993"(Z-
289) and amendmena,adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certfy that only
kitchen, batF, and Door clgins are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of
Occapancyhas been issued ythe Department of Cormnunity Services, C el, Indiana.
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OFFICE USE ONLY: ***********************••*..:.::a<::=?_.........,•???•.?
NSPECTIONS REQUIRED:
Upper Fdotng Lower Footing Under Slab
Rouah I Meter Baste final Site
of Community services (Date)
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
O
a Charged Pie
Reviews
Additional Fees
S:Pemi1ts/FO s,qU` RESIDErITNL Fee TKeh'ed by: