HomeMy WebLinkAbout06040047 Application
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City of Carmel/Clay Township ~ Permit #()bDLfO()~7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
~ e
LOCATION
&. PROJECT
INFO:
LOT #
d-/~
SEWER
PROVID
FAX
75-<)..31
cm
STATE
ZIP
c
BEST METHOD OF CONTACT:
FAX
cm
STATE
ZIP
SECTTON
ZONING:
51
SQUARE
FOOTAGE:
NAME OF LfTILITY EXCAVATION CONTRAcrOR~ PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE): ~
TYPE F ON RU
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
@-tmv STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GAR!
o DEMOLITION
OR:
Plumber's Indian State License #:
c... f1 /0000 ,/ 0
Which plumbing codes will be applied to the construction:
V International Residential Code wI Indiana Amendments
,0 Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured c- FOUNDATION TYPE: (Check all that apply for the:JP" .'1
Permit:. Yy =13' Trusses: (yJ N construction area) ifi.11 fTr1<~dJ
. /) 0 CRAWLSPACE g POST&BEAM4,..-,/AAf~~Ah.
LotSpht: Sump Pump: ~N 0 SLAB ~EMENT f'.-/=T" '7~",
Does any part of the property lie within a special Flood designation area: _ Y -!f!) WALKOUT:_Y ~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this per v lid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of cc paney iSS~?>"'within 18 months of the
issuance date. Class I structure permits are subject [0 the General Administrat~~'-Y~R~lqQ~di' a <.seii6:~AC 12) regarding expiration
time frill'l"~ 1-><,{>Qjn1Dn\10iit!..tlrl~~11'g'"OIJeM'IfiliIlIlns IJ.H
I, the undersigned, agree that any construction, reconst~~E.IAffihOOif{QQaIl(Ilt\~rlt~bTasiructur or any change in the use of land or
structures requested by this application will comply \vitlSlll01em:t~Hrtt'6~ 1:t'Jr illm1i~~~6ede~State oU~iana, and the ~Zoning Ordinance of Carmel
Indiana - I99r (Z~ 289) and amendments, adopted under aurhorityOf :S!..~'~.:~~:Ilr~~, lG.li~ 'SE~G~tate of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floo~~ ~H~~Wt~~th..rtlWR\A..,w~\P'tify that the construction will not be
occupied until a Cmifi~ate of Occupancy has 1J.~:the ~~a:I/I~om!.U'f1yry'Sl'rvi;:~:el. ,Iudiaoa. '-I- /1/0 c.
Date r
OFFICE USE ONLY: **********************************************~************************
Filing Fees: '7- '7? '7rJ
INSPEcnO~S RE~IRED: '_'7. ~.? .c 0
L ~, Base Inspections: cz'c / ~
g ~werFoo~ Under Slab S3. <;0
Cert. of Occupancy:
P.~I.F.: I C2 r;; / dO
~tlL~72~~~J
Fee Received by: - -
Site
..--
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsjFormS/ILP RESIDENTIAL
# Charged Re-
Reviews
Additional Fees
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