HomeMy WebLinkAbout08010003 ApplicationCity of Carmel/Clay Township Permit #: 05 d
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE : FAX:
OF
RECORD: STREET ADDRESS: CITY:
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BUILDERS EMAIL ADDRESS: BEST METHOD OF CONTACT: L
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PROPERTY NAME: PHONE: FAX: II
OWNER:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT #: SU10N NAME:
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/ SECTION: ZONING:
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INFO ADDRESS OF CONSTRUCTION: SQUARE
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FOOTAGE: J?»
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SEWER UTILITY
PROVIDER: ?? / ?Z-?.? Q WATER LTTY
PROVIDER: 92 n? CZ- ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION/ BZA! BPW DOCKET -.-nt?
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NUMBERS; TAC DATE(S); AND!OR COUNTY WELL AND/OR SEPTIC PERMIT S(IF?BLE):
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FLOOD ZONE AREA DESIGNATION(S) REI. ~, n
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FOR THIS PROPERTY
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T? MAP PARCEL
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U"INGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels. Etc.)
Early Release
Permit: _Y ?- N
Lot Split: _Y N
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DECK ADDITION(S)
_ Basement Finish only
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Manufactured ?C
Trusses: -f-Y IN
Sump Pump:Y _N
3?E 1*0/03001;L :2
Which plumbing codes will be applied to the construction:
International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
D CRAWLSPACE POST & _ BEAM PIEF
D SLAB X- BASEMENT (WAL.KOUT:_Y)_(_ N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 160
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 1
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.
1, 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 applicable laws of the State of Indiana, and the 'Zoning Ordinance of Carmel Indiana -1993" (Z-
289) and amendments, adopted under authority of I.G. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath and floor drains are conrec ted to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cert6cate of
Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
Date
OFFICE USE ONLY:
Filing Fees:
Base Inspections:
Cert. of Occupancy:
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S:vermiWForils!i1P RESIDENTIAL
P.R.I.F.: 4,' ( ~ ` Additional