HomeMy WebLinkAbout08010055 ApplicationPermit #:
City of Carmel/Clay Township
t RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER Nom' PHONE: "" "
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RECORD: STREET ADDRESS.
,12-2- 9 CITY: STATE: r , ZIP:
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY NAME' PHONE: FAX:
OWNER:
STREET ADDRESS: G A` CTfY: STATE: ZIP:
LOCATION LOT #: SUBDIVISION NAME:
2" Sf ?'? SECTION:
f S ZONING:
& PROJECT
INFO: ADDRESS of CONSTRUCTION: i FFOOTAAGE: 3d U , j
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SEWER UTILITY
PROVIDER: C'
p WATER UTILITY L ? f ?l
PROVIDER: ESTIMATED COST OF CONSTRUCTION: ?.
(EXCLUDING LAND VALUE) yo U v Q
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): /r ?r s
FLOOD ZONE AREA DESIGNATION(S) /
FOR THIS PROPERTY: TAX MAP PARCEL X#:I?
TYPE OF CONSTRUCTION:
O--SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
STRUCTURE
-1--N'
? ROOM ADDITION(S)
O PORCH ADDITION(S)
Q DECK ADDITION(S)
O REMODEL
_ Basement Finish only i '
? ACCESSORY BUILDING 7
O DETACHED GARAGE
r- ATTACHED GARAGE
codes will
Residential Code
Code w/Indiana Amendments
PROJECT INFORMATION: DEMOLITI , UNDATION TYPE: Check all that apply for the new
'
Early Release Manufactug) . ? constructio area)
Permit: _Y Trusses. e?? l!J CRAWLSPACE O POST &_ BEAM -PIER
_ 7N
Lot Split: _Y =N Sump tt
Y N
TR ?LAg 0--BASEMENT (WALKOUT:
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 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 I4C 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' (2-
289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further 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
Occupancy has been issued y the Department of Community Services, Carmel, Indiana.
51
e=... /r)u•nw - UAth-i-eA.'-t Print Date
OFFICE USE ONLY:
QRough In ? Meter Base Final Site
INSPECTIONS REQUIRED:
per F Under Slab
ling ower Footing Un
'
Reviewed/Approved: Dept. of Community Services (Date)
S:PermiWFoms/ILP RESIDENTIAL
Fling Fees: / U7. Ci
Base Inspections: # Charged Re-
_ _ Reviews
Cert. of Occupancy:
P.R.I.F.: Additional Fees
T7AL'
Fee Received bv: Date