HomeMy WebLinkAbout08010056 ApplicationCity of Carmel/Clay Toumship Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
fNOaKn.% For Single Family. Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE: FAX:
606-.)-
OF
RECORD: STREET ADDRESS: 1 /of f / crry. f SPATE: ZIP:
BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT:
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PROPERTY NAME: ?HONE r' F hi. ?'1S
-
OWNER:
J
STREET ADDRESS: L, 57ATE: 7 :
C17Y:
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LOCATION LOT: SUBDIVISION NAME:
2 t±?
SEC'
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I N D ID WA
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ZONING:
& P R03 ECT .?
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INFO: ADDRESS OF CONSTRUCTION:
.01% SQUARE
FOOTAGE: V
F f
SEWER UTILITY f y' i WATER UTILITY - ESTIMATED COST OF CONSTRUCTION:
PROVIDER: L f ,: e' _ ". PROVIDER: L L. 21-A i 4 (EXCLUDING LAND VALUE)
NAME OF UTILrFY EXCAV kTION CO CTOR; PLAN COMMISSION f BZA J BPW DOCKET
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7
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NUMBERS; TAC DATE(S); J
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l vt S
ANDJOR COUNTY WELL ANDJOR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #:
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
0 SINGLE FAMILY
O TOWN HOME
? TWO FAMILY
# of units being
constructed at this
time;.
C RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit: ?Y _N
Lot Split: ?Y
TYPE OF IMPR VEMENT:
O EW STRUCTURE
Ot`-t-ADDFFMIWS) Plumber's Ind
O PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL Which plumbing
_ Basement Finish only
C) ACCESSORY BUILDING , C
Ca - DETACHED GARAGE
aARA-
?J LITION " I?
Manufactured
Trusses:Y
Sump Pump: Y
i'
International Residential Code w /Indiana
Uniform Plumbing Code w/ Indiana Amen[
FOUNDATION TYPE: (Check all that app
construction area)
? CRAWLSPACE O POST &
D--tLAB CD BASEMENT (WALKOUT:
-J'- 'P 1?
dments?
the new
For Single Family and Two Family dwellings, additions, remodels, and'or accessory ?4ructures, 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 LkC 12) regarding expiration time frames for beginning and
completing construction.
L 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, a' applicable laws of the State of Indiana, and the "Zoning Ordinance cf Carmel Indiana -1993" (Z-
289) and amendments, adopted under authority of I.C. 36-7 et seq, Gentral Assembly of the State of Indiana, and all Acts amendatory thereto. 1:urther cetttfy that only
kitchen, bath, and floor drains are connected to the sanitary sewer- I further certify drat the construction will not be used or occupied until a Certificate of
Occupancy has been iss by the Department of Community Services, Carmel, Indiana.
Signature of Owner or AuthorbAd ent) Print Date
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OFFICE USE ONLY:
INSPECTIONS REQUIRED: Filing Fees; ?i
Base Inspections: J ??, •?V ? Charged Re-
Upper Footin Lower Footing Under Slab Reviews
c
ough In Meter Base teal
S:Permits(FoemsflLP
of Community
Cert. of Occupancy;
P,R.I,F.:
Fee Received by:
.S S•S0
I . _3A-ar
Additional Fees