HomeMy WebLinkAbout06030007 Application
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City of Carmel/Clay Township Permit #: ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
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PHONE
6'76-d ~g
6~ (2q ("
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BEST MffiiOD OF CONTACT:
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PROPERTY
OWNER:
FAX
cm
STATE
ZIP
LOCATION
& PROJECT
INFO:
ZONING:
SQUARE .
FOOTAGE:d ~
TYPE OF IMPROVEMENT:
e:J Nl:W STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
C-.
~IN CONTRACTOR:
mm a-~ys :me
P.!.u~er's Indiana State License #:
CY /C6:XJ)lJ )
TYPE OF CONSTRUCTION:
o SINGLE FAMILY,_-+I,., I
~WNHOM~\~
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
Which plumbing codes will be applied to the construction:
~ I..temational Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(MUlti-Family Construction Code)
PROJECT INFORMATION:
O FOUNDATION TYPE: (Check all that apply for the new
EarlY.Release Manufactured /""\ construction area)
Permit: Y Trusses: -1..:Ll N
- @ /.:'\ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y N Sump Pump: _Y ----<d!/ ~SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _Y --G WALKOUT:_ Y eN)
For Single Family and Two Family dwellings. additions, remodels. and/or accessory strUctures, this~1 . .qQnly if construction commences
within ISO days of the date of issuance of the building permit, and must be completed (C~Q'"'trMt~~\~ed) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrativ.e R 'J>!i1~ ~~ ~'1'IDi~a (See 675 lAC 12) regarding expiration
time frames for beginning and~cti ~rlI\\t\~ioe$' .(';€.S
I, the undersigned, agree that any construction, reconstruction, enl~t~~ti.o&\~. '.i~OO'Of}9. s ~'at]'~ in the use of land or
structures requested by this application will comply with, and conform _ ' :bJ,~ ~~~th~e, ~t~...~ ~~~"'~oning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments, adopted under authority of uS - et s~ ~ #I~ 9f. t!l.~Stl>.b:'olindiana, and all Acts amendatoty
thereto. I further certify that only kitchen, bath, and floor drains are connectedtg,t~ ~.lI ~tr:her certify that the construction will not be
u r occupied until a Certificate ofOccupanc:has been issue t,,~~ '~lB~\'1,,'j~c~car:nel. Iudiana. ,-;)., /0;7 ;10 C::,
Date
OFFICEUSEONLY:***********************~*****************************,******************
Filing Fees: 4t-(oO M r..aO
INSPECTIONS REQUIRED: S rl, ~..-, '7 .t'"J'l
~ !.I Base Inspections' ~ ^<S 10(,/ # Charged Re-
per Foo ng Lower Footing nder Slab ' -/. 5 0 Reviews
Cert. of Occupancy: 6 ---'
~ ~ P.R.I.F.: /2Le/.OO Additional Fees
WA ~ TOTAL:' ?,')..JfDI loo
Reviewed/Approved: Dept. of Community Services (Date)
S:Permlts/FormS/IlP RESIDENTIAL