HomeMy WebLinkAbout06020069-Application
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City of Carmel/Clay Township ~ Permit #tJh 0 2C()(P9
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: dd' , Remodels, &. Accessory Structures
FAX
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BUILDER of
RECORD:
ZIP
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BEST METHOD OF CONTACT:
_ 7' -ditJ.). I .75"
PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
33
SUBDMSION NAME
SECTION
ADDRESS OF CONSTRUCTION .' ~ . / J
13' 0 ~tt'U'-v <'5 ~
WATER UTILITY, ,/
PROVIDER: ~~
NAME OF UTILITY EXCA ATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
ESTIMATED COST OF CONSTRumON:
(EXQ.UDING LAND VALUE) S
ZONING: S _ /
FOg~~E:~ 537
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7gg
TYPE OF CONSTRUcnON:
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PROVEMENT:
RUcrURE
DDmON(S)
DDmON(S)
r04€..
PLUMBING CONTRACTOR, 0
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Plumber's Indiana State Licen #:
:I/: /0 It ~tf- 79
.
Which plumbing codes will be applied to the construction:
rxf International Residential Code w {Indiana Amendments
RFs Unit;;.;:;, Piumbing'COlIeW/'f~!G/lJendments
S:, r'j" C(M~lti,Fam,ilY Conslru~ior ,\;99\V:J u la tions
Oi~;t.~,TP ,.;('j:-' ,-.,.,,-, t"n-l ~('
", 'cFOUNDATIONTYPE: '(Ch'eck all that apply for the new
Early Release .". J( L',i:onstrUctionarea)""" ('( ~;:::lVICES
permit~ -=.Y _N _Y _N CI i Y ~ tRAl)ks~AcE CU,O'CR.GST$cIiIPlM
Lot Split: _Y iN Sump Pump: -XY _N 0 SLAB li';Ui6J>:A BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y _N . WALKOUT:X Y_N
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PR
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is 'd 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 IS 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 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 I.c. 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 or occupied until a Certifi, of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
!J7w-dr-t} r:1I/71 j? ;(-/1- ot
Print Date
OFFICE USE ONLY: *** * *** *** * ** ******** * ********* ** ******* **** *-*";*;lj* ** * *************** *** *
Filing Fees: / 0 ~ 8', '10
INSPECTIONS REQUIRED: _ f -; "'7 /() # Ch dR'
, Base Inspections: ~ '" . LI arge e
pper Footi ' - r- { ')~ 0 ReViews
Cert. of Occupancy: .) (.
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P.R.I.F.:
Additional Fees
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Fee Received by: