HomeMy WebLinkAbout06040085 Application
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Permit #: ()Cool-f 0 V55
City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
Manufactured FOUNDATION TYPE: (Check all that apply for the new
v' V' construction area)
_ Y ~N Trusses: .L- Y _N
V 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y LN Sump Pump: ~Y _N 0 SLAB . ~. BASEMENT ._"""
Does any part of the property lie within a special Flood designation area: _ Y cX-N:-:-;--;:" -WALKOUT.;;-; ;:':' l::~ N
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, thiJ Wrqit'is~x.~iid,only.if c~ns~riiiii~n,t~rririi~nces
within 180 days of the date of issuance of the building permit, and must be completed (Certificatc\qf qqcU-pancy issued) within IS mm1$s\ci~ the
issuance date. Class I structure permits arc subject to the General Administrative Rules of the State of I,., ridi~na (See 675 lA' md~rdirig\exP.iration
. . time fram~s for beginning and completing con~tructioh\ 1\\\ tARR ,1 I'. tl \,\ \. J) \
I, the undersigned, agree that any construcnon, reconstrucnon, enlargement, relocation, or alteranon of a J.rruc~te, or any change In the use o~Jiirid.or\\
structures requested by this application \viU comply with, and conform to, all applicable laws of the State of !.bdi~a, and t~DcdinaIi~of Canpel
Indiana -199r (Z~289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly Of!' e St-;~~'of'lndiana, and all Acts amend~~~f1j
thereto. I further certify that only kitchen, bath, and floor drains are connected (0 the sanitary sewer. I furt er certify that the ~r,UCtion.wilFnot oe
used cupied umil a Certificate of ccupancy has been issued by tbe Depa,':;f;, of Community S !y'ice.>rGarmrl;1naiana.
. I I r L/-s4
Signat re of OWner r Aut orized Agent
BUILDER of
RECORD:
./IN'!
PROPERTY
OWNER:
STREET ADDRESS
SEWER UTILITY
PROVIDER:
LOCATION
&. PROJECT
INFO:
LOT #
I
Cirr:)~ Ccw+
()
NAME OF UTIUTY EXCAV TlON CONTRACTOR; PlAN COMMISSION / BZA / PW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTI WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABlE):
TYPE OF CONSTRUcnON:
00 SINGLE FAMILY
b 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 ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
Print
58:J-C)'-!S3
ZIP
oJ ex
STATE
TN
PHONE
FAX
CITY
STATE
ZIP
SECTION i
ZONINGS - J
SQUARE ~ ) aq
FOOTAGE: ...J 0( / /
ESTIMATED COST OF CONSTRUCTION: -"1? .,
(EXCLUDING LAND VALUE) 0( oJ 0( O()()
fY/,e ~~;jf-
PLUMBING CONTRACTOR:. . )
J..}) /Y/Pc!x::vn,('c<
Plumber's Indiana State License #:
Pc. A/OG 9590
Which plumbing codes will be applied to the construction:
185 International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(MUlti-Family Construction Code)
Date
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FiIi n9 Fees:
to
of State ai\<!Ra~al Codes.
DEPT OF COMMUNITYSE.
CITY.OF CARMEL I CLAY TO
I
INSPECTIONS REQUIRED:
~Footi~ l(Q\iier Footi~ U
0ugh in)
Reviewed/ Appr
S:Permits/FormsjILP
(Date)
Fee Received by:
# Charged Re.
Reviews