HomeMy WebLinkAbout06010150-Application
TYPE OF CONSTRUCTION:
~ ~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
o DETACHED GARAGE tsrlnternational Residential Code wI Indiana Amendments
DO ATTACHEDOGARAGE 0 Uniform Plumbi!!.gJ;pde, w/lndiana Amendments
DEMOLITI N (Mul1j;foMICQ[\SI,uctlori Code)
PROJECT INFORMATION: _,.. ~ CUN~" .. .,. i,' ,
Early Release -8 Manufactured ~. i: i <:,,:"~~, \ 'fO-;Utf~_ ~~~Ii: ~Check all that apply for th
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Permit: _Y Trusses: ' '<<'.N" 'll"" R . "if .; I'CA
Lot Split: _Y _ Sump Pump: _';":j' !'{~ C~;o~;:P.= '~~~M&E~~
Does any part of the property lie within a special Floblf ll5ipn~n~~ , ,Y Q WALKOUT: Y
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTlL
PROVIDER:
City of Carmel/Clay Township vJ ,{,,,~ Permit #: Oll I'll () (:{V
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
g7'5-o>36::> fd3?; F676 c;t31</.
CITY /7 STATE
63'ou' ~
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BEST METHOD OF CONTACT:
FAX
STATE
ZIP
ZONING:
S I
C RACTOR; PLAN COMMISSION / BZA / BPW DOCKET
COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
SQUARE
iZ;;J3i;i 'FOOTAGE 88
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Plumber's Indiana State License #:
(' PI QO():::) I () /
For Single Family and Two Family dwellings, additions, cerno els, 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
structures requested by this application will comply \vjth, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - I993n (Z~ 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. I further certify that the construction will not be
use occupied until a Certificate of Occupancy has been issued e? :e;;;nt of Community ;:;:;;.;~:: ~~diana, I /,;;J..(p ~c;.
ure of Owner or Authorized Agent rint Date r
OFFICE USE ONLY: ************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTIONS REQUIRED:
~~ ~wer FO~9 Under Slab
C-;~n~~-F~
G l Stl
515'0
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,
# Charged Re-
Reviews
P.R,I.F.:
Additional Fees
Reviewed Approved: Dept. of Community:-
S:Permits/Forms/ILP RESIDENTIAL
(Date)
Fee Received b