HomeMy WebLinkAbout08010120 ApplicationCity of CartnelYClay Township Permit #: I JQ L (ac
RESIDENTIAL HVIPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF NAME:
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RECORD: STREET ADDViSS:
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R./C STATE: ZIP:
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BUILDER'S EMAIL ADDRESS:
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PROPERTY NAME: 5u 'er Mate ar.d Local Cod
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OWNER:
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STREET ADDRESS: CI t:
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?NF( 10 ) CLAY
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ZIP:
LOCATION "T' SUBDIVISION NAME: SECTION:
2Y}- ZONING:
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& PROJECT -)
INFO: ADDRESS OF CONSTRUCTION:
Z SQUARE
FOOTAGE:
7
1? ,
SEWER UTILITY
PROVIDER: /
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;7 WATER UTILITY
PROVIDER: ESTIMATED COST OF CONSTRUCTION: o U
(EXCLUDING LAND VALUE)
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA J BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): ,
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #.
9
FOR THIS PROPERTY: 0
TYPE OF CONSTRUCTION:
SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units being
constructed at this
time:
? RESIDENTIAL (For
Additions, Remodels. Etc.)
TYPE OF IMPROVEMENT:
Ew STRUCTURE
? ROOM ADDITION(S)
O PORCH ADDITION(S)
? DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
Early Release / Manufactured
Permit: _Y N Trusses:
Lot Split: Y _N Sump Pump:
For Single Family and Two Family dwellings, additions, rt
days of the date of issuance of the building permit, and a
structure permits are subject to the General Administratii
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Y N
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PLUMBING CONTRACTOR: sn .y,8Z6 O
Plum rs Indiana State License
Which plumbing codes will be applied to the construction:
ntemational Residential Code w/Indlana Amendments
? Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
L'TonCRAVVLSPACCEE O POST & _ BEAM -PIER
SLAB ff? BASEMENT (WALKOUT: _Y f:?N }
, and/or accessory structures, this permit is valid only if construction commences within 180
ompleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
completing construction.
;ement, relocation, or attention of a structure, or any change in the use of land or structures
)licable laws of the State of Indiana, and the "Zoning Ordinance of Catmet Indiana -1993" (Z-
ieral Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
urther certify that the construction will not be used or occupied until a Certificate of
ices, Carmel, Indiana.
1, the undersigned, agree that any construction, reconstruction, enla
requested by this application will comply with, and conform to, all al
289) and amendments, adopted under authority of I.C. 36-7 et seq, G,
kitchen, bath, and floor drains arc connected to the sanitary sewer. I
Occupancy has issued by the Department of Community Sei
OFFICE USE ONLY:
**************************************
Date
INSPEC:L4wer O Filing Fees: 1Yx h- 6'U
. Base Inspections: # Charged Re-
Ipper Footin Footin Under Slab Reviews
Cert. of Occupancy: SS-.?U
Rough I eter Base Final /? / 19A
P.R.I.F.: Z2 L ( • (i Additional Fees
?i????? TOTAL: ?• ?CC?
S.PerM WF=W1 P RESIDENTIAL
Fee Received Gv: