HomeMy WebLinkAbout06030075 Application
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City of Carmel/Clay Township \}I '~ Permit #WJ 3()O 7-.5
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
I
PLUMBING CONTRA. OR: q. '\: ~,
Rtfl ~ffrjf ~~
Plumber's India;6~dj'se #I . ~'\.
Which plumbing codes will be applied to the construction: ~{, ~
~temational Residential Code wI Indiana Amendments~
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
8r. PROJECT
INFO:
LOT #
SUBDIVISION NAME
ADDRESS OF CONSTRUCTlON
SEWER LITIUTY
PROVIDER:
E5nMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
o
STRUCTURE
R M ADDITION(S)
ORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
o
LIRat!
LfWl/(j
FAX
ZIP
ZONING:
Manufactured \ _
Trusses: ~Y_N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
_Y~N
Lot Split: _ Y4-N Sump pum\!lE"
Does any part of the property lie within a
o POST & BEAM
~BASEMENT - ~N
WALKOUT: Y V"
For Single Family and Two Family dwellings, addi~e:' remiil~;f;~r !/1&lYIifi&,gwmit is valid only if construction commences
within 180 days of the date of issuance of the bUil4AIz~.Jfj FP b- '~"t_ificatc of O,ccupancy issued) within 18 months of the
issuance date. Class 1 structure permits are sub~e@~p' un w. ~e~jy:(f-Qf..lndiana (See 675 lAC 12) regarding expiration
tunc f~J.e!;;f!ii- I!PEY~~If~MIO!i?
I, the undersigned, agree that any construction, reconstruction, enlarg,mtJH.t" to, )~ a1tw.~~ture, or any change in the use of land or
structures requested by this application \vill comply with, and conform. to"lrY~ laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1991" (Z~289) and amendments, adopted under authority of l.c. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that 0 Iy kitchen, bath, and Ooor drains arc connected to the sanitary sewer. I further certify that the construction will not be
uscd or oc ~ned until a eem J le of Occupancy has been ,s>u3~cpartmQf cb;;:ooes. Carmel. Indmn3 m- ~
Signature of wner Print ~ Oate
V: ***********************************************~Y***~~1****************
Filing Fees: 7 0 ? 0. 0
. INSPECTIO_NS UIRED: . / r --J ""'0
~ Base Inspections: ~Q ~ l. # Charged Re-
(Upper Fo9fing Lower Footi Under Slab. ..-';. ~ 0 Reviews
Cert. of Occupancy: 2-. "-
~~ I ~ (../iCJ ..
~ ~'R.I~' ~~!~ :;;di!s'.="';"-
Reviewed/Approved: Dept of Community Services (Date) ~ ~ --
~:mi"'FOCm>lILP RESIOEtmAL Fee Re "ed by
~CRAWLSPACE
SLAB
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