HomeMy WebLinkAbout06010129-Application
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City of Carmel/Clay Township \l G ~ permit#:Or,O'Of,)~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME
?ft - 7",?'~
FAX~
JILDER of
{ECORD:
ZIP
-:7 /V' -/5 ...7K'C7
:)90
PROPERTY
OWNER:
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
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ZONINGpLAO
SQUARE ~ 1
FOOTAGE: .J d-
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ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND,_VAtu~':::'-'-r/7<""C-^","""-'
, I _ \ Ie:) 0::.:. i7-VV:\ ~(.;J ,"'.
i : U' l';.::.;J \....'--;) I '--:;l r I \/ ! ':~,~~:, I!
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SEWER LfTILITY ~ WATER UTILITY
PROVIDER: L 'R. (,).) -LJ PROVIDER: :r \;() C
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
K SINGLE FAMILY
5' TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: _Y LN
TYPE
Which plumbing codes will be applied to the construction:
,c,k[ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
_Y
o
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POST & BEAM
BASEMENT
WALKOUT:_Y-tL-N
N
For Single Family and Two Family dwellings, addi emodels, 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 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
strucrures 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 LC. 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 connected to the sanitary sewer. I further certify that the construction will not be
used upie n. a iflcate of 0 u has been issued by the Department of Community Services, Carmel, Indiana.
~a c) io{ 'R. j(/A." V
Prmt
Signature of Owner or Authorized Agent
/-.lro/,
Date
OFFICEUSEONLY:**********************************************~* ~~********************
Filing Fees: ~__,J _;;:< 0
INSPECTIONS REQUIRED: :-
~ ' ~ _ Base Inspections: ) /;; '7 S' () # Charged Re-
~pper Footin ower FootiiU. Under Slab C7' 0 ReViews
i - -=- CerL of Occupancy: S- I. ('
O~I ~~Final ~ j' J II. "
. wit ~1/111 "", TOTAL, . '^ h ]l2icl;";;~-
Reviewed/Approved: Dept.ofCommunityServices (Date) ~ a... ~d(j1~) c:</7/tJb
S:Pefmits/FormS/ILP RESIDENTIAL Fee Received by U