HomeMy WebLinkAbout06030046 Application
City of Carmel/Clay Township \;J ,~, ~ Permit #f'J?J03CfYHc,
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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STREET ADDRESS
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PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
STRE~~
LOT # SUBDIVISION NAME
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PHONE
FAX
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CITY
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STATE
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BEST METHOD OF CONTACT:
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PHONE
FAX
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CITY
STATE
ZIP
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SECTION
ZONING:
ADDRESS OF CONSTRUCTION
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SQUARE
FOOTAGE:
STRUCTURE
00 ADDITION(S)
PORC ADDITION(S)
DEL
ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
DETACHED GAM~ED Fdi!t' ~ID;ilG/ltal Code wI Indiana Amendments
ATTACHItIlela.iAlI!-.o ~~~I.nn'''AtionB I d' A d
EMO lp ct to compltaf'looo......-IIRUIIft!l""'lDe w In .ana men ments
D LI Ie of State'and lr&!!\l;IFe\JijElSlnstructiOS" Code)
PROJECT INFOR ~;id.Nl~fii~
Early Release Manufactured ' DePT OF CQ~HtPeck all that apply for the new
Permit: _ Y ,/ N Trusses: CIlY M~RMS!! 1 a 0
. /. . \NIBIJl(tIlAwLSPACE 0 POST & BEAM
Lot Split: _ Y --LN Sump Pump: lC- Y _N E:i SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _Y -LN WALKOlJT:_ Y_N
SEWER UTILITY
PROVIDER:
o
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) r. ~
#d~ ~:$Oloo
PLUMBING CONTRACTOR:
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Plumber's Indiana State License #:
frIO 7 7"7 J
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO 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 oE 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, Of alteration of a structure, or any change in the use of land or
structures requested by this application \',rill comply with, and conform to, all applicablt laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana ~ 1993" (Z-289) and amendments, adopted under allthority of r.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 const ction will not be
used r occupied un a Certificau: of Occupancy has been is.sued bvhe Departmtm of Community Services, Carmel, Indiana.
, Q. Qv' V\Gf> . -
a ure of 0 Print
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL
Base Inspections:
Cert. of Occupancy:
c2 /<./{JO
,
S'/. .yO
I c).-.' t. 00
';:2 c?-..3 5", 00
# Charged Re.
Reviews
P.R.I.F,:
Additional Fees