HomeMy WebLinkAbout06030112 Application
i,.~y of Carmel! Clay Township Permit JJ 60 ~ () II:L
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
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FAX
BUILDER'S EMAIL ADDRESS
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NAME )
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STREET ADDRESS
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lOT #
SUBDIVISION NAME
CITY
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STATE
I~
ZIP
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BEST METHOD OF CONTACT:
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PHONE
FAX
CITY
STATE
ZIP
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SECTION
ZONING:
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L n.----.!.c+-. _SQUARE
A r-- ff=l ' FOOTAGE"~'-'
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~:~::'~LITY tf,1 fA. ~:;~I~~;LITY fi IT ~~~~~~9C~N~ ~f~tRucTION: "-~:=III Ii I
NAME OF lJT1LITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET II U MAR 1 5 2006 II
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANa/OR SEPTIC PERMIT #'5 (IF APPLICABLE): I ;/, II/
I II )!
PLUMBING cf.NTRACTOR: j
ADDRESS OF CONSTRUCTION
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TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY A12LtA. ,~-J;J. NEW STRUCTURE
o TOWN HOME SUbjeCtt 'OLi.IT(iW9..M ADDITION(S)
o TWO FAMILY . G CO,E) ':'PORCFlAOQJ.TION(S)
# of units: Df::f'i Of, ~"'Ii~t"~EMqql::t:: "(1[/(,-,.,
o MULTI-FAMILY C/7y O,c. C, D"'....CCESSQRY aUILDINGl/j
# of Units' Of: C '1+;,' , "," ,. - "',':
O RESIDENTIAL (F A,h"L,J'IDE1i'f~ED.G&RAGEiLi:3
. . or '" 'b, Al;fACHED'GARAGE
Additions, Remodels, Etc.) 1,,,ISlI/DEM0I,ITION" ::'CiC;"
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PROJECT INFORMATION:
Early Release
Permit:
Manufactured
Trusses:
_Y_N
_Y_N
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o
o CRAWLSPACE
Lot Split: _Y _N Sump Pump: _ Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
For Single Family and Two Family dwellings, additions, remodels, 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 \vill 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 authori }(of LC. 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 dra" are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occupancy has be issued by the Department of Community Services, Carmel, Indiana.
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Signatu
Authorized Agent
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print~
OFFICE USE ONLY: *********** ****************~****************?********~****************
V),/ Filin Fees: / cZ P. '7 L
INSPECTIONS REQUIRED: -t'/Ct> .c 2.. /,",1
:l' Ii cB Inspections: J ~ :;LY
Upper Footing Lower Footing Under Slab ":..).
Cert. of Occupancy:
Final Sit'
Rough In
Meter Base
POST & BEAM
BASEMENT
WALKOLIT:_ Y_N
3-1S--OC.
Date
# Charged Re-
Reviews
P.R.I.F.: . Additional Fees
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Reviewe Approved: Dept. of Community Services
S:Permits/Fo ms/ILP RESIDENTIAL