HomeMy WebLinkAbout06040019 Application
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City of Carmel/Clay Township J-.A /l::J Permit #:CioOLf-oDl9
RESIDENTIAL IMPROVEMENT LOC~ON PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
BUILDER of
RECORD:
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BEST METHOD OF CONTACT:
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PROPERTY
OWNER:
PHONE
3\1-5
FAX
.~oo 31l-5~.
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CITY
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LOCATION
llr. PROJECT
INFO:
SEWER UTIUTY
PROVIDER:
NAME OF lJTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
APR - 5 2006
TYPE OF CONSTRUCTION:
rd SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
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Plumber's Indiana State License #:
\ OO"l uu3
Which plumbing codes will be applied to the construction:
0Intemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
Manufactured ./ FOUNDATION TYPE: (Check all that apply for the new
/ construction area)
Y V N Trusses: _Y _N
- ~ ./ 0 CRAWLSPACE
Lot Split: _Y_N Sump Pump: L-Y_N ~SLAB
Does any part of the property lie within a special Flood designation area: _ Y V"N
PROJECT INFORMATION:
Early Release
Permit:
9,. POST & BEAM
ll"J BASEMENT
WALKOlJT:_ Y V 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 ~equested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (2- 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 only kitchen, bath, and floor drains are connected to the sanitary sewer. I further, certify that the construction will not be
occupie nul a Cat ,cate of Occupancy has been Issued~\i~e(~~:~ ~:unlty SetVlces. Carmel. Ind,ana ~ J 5/ Olo
Print .-J Date' ,
Reviewed/Appro ed
S:PermitsjFormsjILP
USEONLY:**************************************************~~********************
Filing Fees: /' (/ '1. Olo
INSPECTIONS REQUIRED: . . ;27 1. SO. # Charged Re-
/upper Foot~ cte:wer Footing=:>Under $ijjj;.EP5E~f'tlF-f~~~RUCTION .3 )0 Reviews
~ ~~ ~j(Jct to cGerp,lianCll!:oopamiiyr.Agulations ,-::).
Rough In Meter Bas Final Si.te uf s.\.l\te ai1d local COd.es.. / I /'}j 110. . .
~ - - -EPT or:' E;~I.f:},iUNITY S~FWIC[G _fA 1::2..: U Additional Fees
D CITY OF (;AFU';1r~~I~(~::4.'.T"or-N~~HIP If ~5;; ~
ItyServices (Date) 'A "....tl Ll.. ~I~__
Fee Received ~ '-"' - L- ~ /12,1 tIP