HomeMy WebLinkAbout06030181 Application
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BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
City of Carmel/Clay Township Permit #{')loD?:Q L'RI
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAM
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PH E
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Ft;9b_130
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PHONE FAX
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LOT #
SUBDIVISION NAME
SECTlON
ZONING:
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SQUARE
FOOTAGE: I t 0 ~
ESTIMATED COST OF CciNSTRUCTlON:--__,"',_,
(EXCLUDING LANDVALUE.I\ \ i,::,~-~' (r.z~~.~.,:,:.:.,.~
: ': I! l,___o '~_"'~'_..) II \\.1/ . ,"-_ ;.
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11,111 ! I j Ii
PLUMBING CONTUS}TeR: 2006 jlU
SEWER UTILITY WATER UTILITY
PROVIDER: L Ih P PROVIDER: ~'L
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANO/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
F CONSTRU
SINGLE FAMILY
WN HOME
TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
o DETACHED GARAGE 0 International Residential Code w/Indiana Amendments
~ ~~~CHED GARAGE 0 Unifonn Plumbing Code w/Indiana Amendments
y/' ~OLmON (Multi-Family Construction Code)
_ FQU~DATION TYPE: (Check all that apply for the new
Manufactured __, "~ , " 's'ction area)
Y N T Y '~N'.(.'l\)con
_ _ russes: ....o:o.......C"...:~-,.~-. "...., . ,,_';:;-,1'\5
~i'1 Fe" .'" _ -1\ [", 'jl~ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y _N mp: ---,,-,-,Y'~N ,_~ 0 SLAB 0 BASEMENT
""0 cor(\FI , \..,' ~j.)("" I\r'-':>
Does any part of the property li8uUit6ln( a g~ial FI~~~,~~i911'!.tion a!'e,a,:,o--Y _N WALKOUT:_ Y_N
For Single Family and Two Family dw~~@rtiJ;;l1~~~dcls{~.qJ9f ;~b~~d~'t~ructures, this permit is valid only if construction commences
within 180 days of the date of issuan~rhs...fp1iklil!g-l?~dnit,.dna'~~st be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure pe~~dbJ&:t~! the ~er~ ,Adinihistrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames fbr beginning and completing construction.
Y, the undersigned, agree that any, onstruction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this app' ation will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana 3" ( ,89) and am drnents, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
th o. I fu her: ertify that 0 kitchen, bath, and floor drains are connected to the sanitary sewer. I funher certify that the construction will not be
ed or oc pie until a Cer 1care of Occupancy has been issued tfe &"'7e;;.[~ co.;;p;:;;::: Carmel, Indiana"~
nature of Owner or Au Print Date
N:
Plumber's Indiana S
License #:
PROJECT INFORMATION:
Early Release
Permit:
OFFICEUSEONL *******************************************************~***************
Filing Fees: I J~ t.t i
INSPECTIONS REQUIRED: I -.;- ~ ~4'l # Ch d R
Base Inspections: 6 ;;2 'u V arge e-
Upper Footing Lower Footing Under Slab ReViews
/~ Cert. of Occupancy:
Rough In Meter Base Final ~ P.R.I.F.: Additional Fees
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LP RESIDENTIAL Fee Received by: