HomeMy WebLinkAbout07120094 Applicationnt G
City of Carmel/Clay Township permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
`` ,,Neiphp % For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. PHONE: FAX: ?y
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RECORD: STREET ADDRESS: /- CITY: STATE: ZIP:
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BUILDE EMAIL ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY NAME: F
PH14tLEASED FOR C0NST*.y CT1ON
OWNER: i
., wit, ail rcpulations
STREET ADDRESS: CITY: Of Slate LS ATE:'-Cd25. ZIP:
pEpT F . 4,0UNi i Y SFRVICESI
LOCATION LOT m: 2? SUBDIVISION NAME: C?n iCAR J?,-'- Y
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V 1P?SIIIP
& PROJECT iNn
INFO: ADDRESS OF CONSTRUCTION:
2 7 jr ~ ? `-" Z Lh SQUARE /
FOOTAGE: 76 75-
SEWER UTILITY _
PROVIDER: C 4 W Q WATER UTILITY
PROVIDER: E K,+rt/ EST IMATED COST OF CONSTRUCTION: O O
(EXCLUDING LAND VALUE) 2 O z/ 6O U_
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMTT #'S (IF APPLICABLE): sf U f Fc N a 17
FLOOD ZONE AREA DESIGNATION(S) A I QCC11 3 TAX MAP PARCEL #: , L U Pi L
FOR THIS PROPERTY:
TYPE ?OOF CONSTRUCTION:
E?SINGL.E FAMILY
? TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions. Remodels, Etc.l
TYPE OF IMPROVEMENT:
C;- EW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
? DECKADDITION(S)
CD REMODEL
_ Basement Finish only
? ACCESSORY BUILDING
? DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
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Which plumbing codes will be applied to the construction:
' International Residential Code w/Indiana Amend
? Uniform Plumbing Code w/Indiana Amendments
Early Release
Permit:
Lot Split:
Y?
_Y N
Manufactured
Trusses:
Sump Pump: Y N
-:?:(-N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
01tRAWLSPACE O POST & BEAM -PIER
C SLAB BASEMENT(WALKOUT:_Y----?`N)
For Single Family and Two Family dwellings, additions, remodels, andlor 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 date. Class I
structure Permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any cow-mcdon, reconstruction, enlargement, relocation, or alteration of a structure, or ary 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 Indiana -1993' (Z'
289) and amendments, adopted erderauthonry of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acs amendatory thereto. 1 furher 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 Certificate of
Occupancyhas been issued b, thh epartruent of Community Services, C el, Indiana.
-92
SSignature0l 0.ner or Autlwri en PAW Date
OFFICE USE ONLY: *z»sssssssssssszssssxssssssss:sass:::::=ss==:?=:?._.__ ?----------------
INSPECTIONS RE UIRED: Filing Fees:
Base Inspections: t%S7. 5O # Charged Re-
? rO Reviews
pper Footin Lower Footi Under Slab <
Cart, of Occupancy: ff
Rough In eter 8 Final S' p,R.LF.; 1 0o Additional Fees
Revi proved: Dep mmunl Services (Date)
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