HomeMy WebLinkAbout08010096 ApplicationPermit #, (}.-Po
City of Carmen/Clay Tosmshlp
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATIOr
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME. PHONE:
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- FAX:
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RECORD: STREET ADDRESS 2
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TATE: SIP:
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ADDRESS:
BEST METH OF CONTACT:
BUILDER'S EMAIL
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PROPERTY NAME: PHONE: FAX:
OWNER:
STREET ADDRESS: CITY: STATE: ZIP:
LOCATION LOT #: SUBDIVISION N'A'ME;
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/ SECTION: ZONING: f
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& PROJECT - ? >
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INFO: _
ADDRESS OF CONSTRUCTION:
- / SQUARE
FOOTAGE: J -1
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SEWER ilTIlJI Y
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f WATER UTILITY
PROVIDER
/ - ESTIMATED COST OF CONSTRUCTION.,
(EXCLUDING LAND VALUES 0 L
PROVIDER:
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA ( DPW DOCKET
ANDIOR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
NUMBERS
TAC DATE
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FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #: fOt?
FOR THIS PROPERTY: A
TYPE F C N T N:
SINGLE FAMILY
O TOWN HOME
O Two FAMILY
# of units being
constructed at this
time:
O RESIDENTIAL (For
Additions, Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y _
Lot Split: _Y N
structure permits are subject to
TYPE OF IMPROVEMENT:
?_?Ew SURE
ROOM
PORC S?
O OR
O DECKADDITI6191'Sj' 1ir,pJia.r1Ce
o REM L (at r0 r,Cf LO
O AC641 (A't`J!1
C: DETACHED GAR ,'i,+! ;
PLUMBING CONTRACTOR:
Plumbs s Indiana State License
%s 11 be applied to the construction:
Residentiai Code w/Indiana Amendments
Ong Code w/Indiana Amendments
ATTACHED GARAGE
7 DEMOLITION 'DIANA
Manufactured
Trusses: Y ?N
Sump Pump: Y JN
.ngs, additions, remodels, andlor ac
1, the undersigned, agree that any construction, reconstr;iction, enlo
requested by this application will comply with, and coTnform to, all a]
289) and amendments, adopted under authority of I.G. 36-7 et seq, G
kitchen, bath, and floor drains are connected to the sanitary sewer. I
Occupancyhas been issued by the Department of Community Sei
(Check all that apply for the new
CRAWLSPACE O POST &_ BEAM
LAB El-BASEMENT (WALKOUT.
valid orth, if construction commences within 180
) within IS nwrahs of the issuance date. Class 1
12) regarding expiration
:ion, or a'_te -ation Of a structure, or any change :n the use of land or structures
[the State of Indiana, and the -Zoning Ordinance of Carmel Indiana -1.993" (Z-
o[ the State of Indiana, and all Acts amendatory thereto. I further certify :hat only
that the construction will not be used or occupied until a cerr&cate of
-2 > `U?
Date
OFFICE USE ONLY: ***************************?*******************x********?************************
INSPECTIONS-REQUIRED: Filing Fees: liv4,)- ° 3 o
Base Inspections: yl? # Charged Re-
llpper Footiin I_a er Footin Under Slab Reviews
Cert. of Occupancy:
Final
Dept. of Community
S:Perm!WFormsV1LP RESIDE"t.
Additional Fees