HomeMy WebLinkAbout06040045 Application
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City ofCann<llCJoy Towmhip \JJG~ P~uQbOLj{)015
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PHONE
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FAX
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CITY
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BEST METHOD OF CONTACT:
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PROPERTY
OWNER:
NAME
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PHONE
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FAX
LOCATION
&. PROJECT
INFO:
CITY
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STATE
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SECTlON
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SQUARE
FOOTAGE:
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SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRU5:,?ON:
(EXCLUOING lAND VALUE) '" 1>01 000 0 -
~ ~
NAME OF LfTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
;,__, I ,.0,
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:," , :,1 ,~-; ,,:"
o NEW STRUCTURE ':>~~\-~~\~u_______u_____: II II!
o ROOM ADDITION(S) Plumber's Indianal ftate Lil\~ ':0 2006 I II ij'!
g", PORCH ADDITION(S) ~c:.. &88 00 a ~ ~ II L 111) ,
~ REMODEL t: I '---' J
o ACCESSORY BUILDING Which plumbing code will be apPIiedrolfteoon." u.tiun.
o DETACHED GARAGE ", ' WWIl\bOP;1atilfal R" tial Code w{Indiana Amendme ts
~_'l2J<31\AAElE(.>)t',S" .J\'" I IU
, ' ., " ,'0 'on "'G\{IIi~ll.un~mbing Code wI Indiana Amendments
U I }:jflJ,,.,,' '" ,CG ',,\, ;:, I rJ'!ulti-Family Construction Code)
PROJECT INFORMATION: of ",pt ,.,,,:, "",;<,,1 \-vue".
Early Release / ManUf~C!;CDU(i')(.j \:< iT:~ON ;VPE: (Check all that apply for the new
Permit: Y N Trus15ttY OF C''l\;i:~1'/ ClA'l O~::CE
Lot Split: Y 1N Sump Pump: _Y.lNDlANA 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y IN
o POST & BEAM
[i/ BASEMENT /
WALKOlJT:_ Y-LN
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 v..rill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indi na -1993~ (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
ther . 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
used r occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
.' ~ ~. ~'aPt:"'\? t\Oc~,
Print Date
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Filing Fees: /,3 3 1) 0
INSPECTIONS REQUIRED: t J //_' 60
Base Inspections: Lt.--
Lower Footing Under Slab ' 0
Cert, of Occupancy: S'3~ ';')
# Charged Re-
Reviews
Meter Base
Site
P .RJ.F.: Additional Fees
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Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL
Fee Received by: