HomeMy WebLinkAbout06030202 Application
City of Carmel/Clay Township Permit #O~020:;ZtJ:2.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
REC~
P, HONE G C-
d-I ~ 7::;,
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FAX
STATE
Y\
ZIP
l:,Q5D
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME
o
PHONE
FAX
STREET ADDRESS
em
STATE
ZIP
LOCATION
& PROJECT
INFO:
LOT #
'\
SECTION
ESTIMATED cotr, -\:9~ST"iEci]q'i!; f] ~\r7 ~?l 0'0, i
(EXCLUDING LArJrl UE)::-J ~- :- J.' ~.1 it..., ! \: i
I'll I -- ----I I ! Ii
, 'II 'Ii
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MAR 2 9 2006 I L i I!
TOR:lJ'@~()/99
, -
I
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Which plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
M f d FOUNDATION TYPE:
T anu acture ~ N construction area)
russes: _
~ 0 CRAWLSPACE
Lot Split: Sump Pump: Y ~N ~ 0 SLAB
Does any part of the property lie within a special Flood de~Ltion area: Y X-N
(Check all that apply for the new
o POST & BEAM
~ BASEMENT
WALKOUT: Y~N
Fo~ Si?gle Family and Two Fa~ily8~esfaa iti6ri~,~.~-~,n.!"6~e!~~iAd/o~~~~'t~at?~ructures. tllli; per1Ai~2.'iYa)Vl",:"O~~I1'!B" commences
Wlthln 180 days of the date OflsstSnbjot(Hitl:4l:Udd:.,.gpt!l'm(t,'t.liM1Ji\1..~f'B~~omp'feted (Certific~rc1C"J~n~ CWtl' n'1'~months of the
issuance date. Class I structure permits are s~ftjt8;tafU:QJ;rGtht"a:lrAdiA}#tsi1ativc Rules of the State~-.il(~7 C. egardj;~\g expiration
Qt'mdrlr"~.<<,J.~',"n1\m.",ii~W~6Sgconstruc~.r.l.' ~ . i'
- ,- T 11!.l!'vI ~fTT-CiJ'--' , .' .-,
I, the undersigned, agree ~hat any con~~n:- _?ll ,~ct,!sn, ere cpt .r:elq~<.\-" tP':ration of~,SeriYllilSgl.riltike ~s7' ~ nel or
structures ,equested by thiS apphca,€~l";U €i\iipliMtMv1\il!cnh:e;mallla).,ph~~~~ws of the State of IndJana,_~tlJt ";P!lln.ll Qrdm,"i/. of Carmel
Indiana - 199r (Z~ 289) and amendments, adopted under aw;.4eJfArtJ~. 36~7 er seq, General Assembly ~~Ie l,ijtllJc4l'!9.1aitU'].r!\cts,~: datory
thereto. I further certify that only kitchen, bath, and floor clE~.ns are connected to [he samtary sewer. I f!rth~r c~tify that the construction will not be .,
used DC occupied until a C Ttifieate of Occupancy has been issued by the Depactment of Community Seeviees, Ca,mel, Indiana. , ~ "
C"1Ili.f Ih'll.s), OX' jbJ; 0(..
Signature of Own or Authorized Agent Print v Date
OFFICE USE ONLY: *********************************************~****,*********************
Filing Fees: ?CLdO
._, IN:PECTI~S REQU,IRED: '7/ 7. <,() # Charged Re-
_____ ~ ~~ Base Inspections: """'-""- J
CUppel"footinilQ....Lower Fo~ Under Slab ~I ReViews
c9 - ~ Cert, of Occupancy: S ' ;>tl
Rough In Final / //, 110
P.R,I.F,: ~ I d (, ,(J , Additional Fees
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2>}lJ: 1)
(D tel
ReviewedjApprov . Dept. of Community Services
S:Permits/formsjILP RES NTIAL
Fee Received by: