HomeMy WebLinkAbout07120096 Application•i+ of GiR \., Permit : Y•
City of Carmel/Clay Township 07 t
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
`.Jxo,axp %? For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE: FAX:
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RECORD: STREET ADDRESS:
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EMAIL ADDRESS:
BUILDE METHffff CO
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PROPERTY
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PHONE: _
Ula:fOn
OWNER:
STREET ADDRESS:
CITY: r
._ STATE:-" VI UlVI IIP, : SERA/ICE
CLAY TQ1A/.',rcLj,
LOCATION
& PROJECT LOT SUBDIVISION NAME:
? 7 1•[2-1-i(L SECTION; ZONINGA
5-11 -
INFO: ADDRESS OF CONSTRUCTION
24, Z
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/ ? - v/=
" SQUARE
FOOTAGE: Y Y,31
SEVIER UTILITY _
PROVIDER: C7-_ iA.? ?? WATER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRUCTION: V
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
OR SEPTIC PERMIT #'S (IF APPLICABLE):
OR COUNTY WELL AND ?J {? ?'f???
L 0 T
/
NUMBERS; TAC DATE(S); AND/ /
FLOOD ZONE AREA DESIGNATION(S)
S PROPERTY 0-7 1 a oo TAX MAP PARCEL #: D r
C
7
:
FOR THI , 1
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time.
D RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y AV
Lot Split:
TYPE OF-IMPROVEMFNT:
D' NEW STRUCTURE
D ROOM ADDITION(S)
D PORCH ADDITION(S)
? DECK ADDITION(S)
? REMODEL
_ Basement Finish only
0 ACCESSORY BUILDING
D DETACHED GARAGE
? ATTACHED GARAGE
E_- DEMOLITION
Manufactured
Trusses: _Y/_N
Sump Pump: _YN
PLUMBIN CONTRALTO y lT ly .
Plumber's Indiana State License #:
43 / 7 7 7 y?,,kr
0 Uniform Plumbing Code w/Indiana Amendments
Which plumbing codes will be applied to the constr ucUOn:
International Residential Code w/ Indiana Amendments
construction area)
FOUNDATION TYPE: (Check all that apply for the new
(?CRAWLSPACE? O POST & BEAM -PIER
i,??? SLAB L9"BASEMENT (WALKOIJT:_Y! N )
completing construction.
For Single Family and Two Family dwellings, additions, remodels, andlor accessor}-struetures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and most be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class 1
structure permits are subject to the General Administrative Rules of the Stale of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and
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 application will comply with, and conform to, all apphcab:e laws of the Stzte of Indiana, and the'Zoning Ottiinarce of Carmel Indiana-1993" (Z-
289) and arendmerts, adopted under authority oELC. 36-7 e: seq. General Assembly of the State of Indiana, and all Acts amendatory thereto. (father cerify that only
Idtchen, bath, and P. nor dins are connected to the sanitary- sewer. I further certify that the construction will not be used or occupied until a Certificate of
Oceupancyhas been issued by th Department oU:omm,unity5 ces, C I, Indiana.
Print Date
INSPECTIONS REQUIRED: Filing Fees:
3, j Q u Charged Re-
Base Inspections: _ Reviews
+******x****************************x**************************/******************
OFFICE USE ONLY:
( lJ
Upper Footi wet Footing nder Slab
Cert. of Occupancy: s ? ` SG
Rough I Meter Ba Final Sit •?
P.R.LF.: ? cy C-?• C? Additional Fees
Revi Approved:) . o Community Services (Date)
s:Peanrcs/r-o,a:sAta aescdNL Fee ReceNe by: - Date