HomeMy WebLinkAbout06040138 Application
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City of Carmel/Clay Township \1'
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
permit#:~~
BUILDER of NAME
RECORD:
CITY
STATE
ZIP
I
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
PHONE
STATE
I
ZIP
LOCATION
& PROJECT
INFO:
SECTION
1./
ZONING:
SEWER UTIlITY
PROVIDER: C
ESTIMATED COST OF CON5Jl'UCTION"
(EXCLUDING LAND VALUE)~d3
1M R VEMENT:
STRUcrURE
M ADDmON(S)
ADDmON(S)
REMO EL
AC DRY BUILDING Wh~lumbing codes will be applied to the construction:
ACHED GARAGE G1' International Residential Code w/Indiana Amendments
ATTACHED GAIU.GE ~!u<''''''''J..If:''''Ir.u.L.
DEMOLmON Hl::LEAS!rnI 9""'rpmu'N"""ng.Y>aeI~nalana Amendments
PR Subject to cOrr\~H~tjyij;"'~I1iJ'DIB<iilllS
Early Relea / Manufactured / of l!o'(JNb~:\T(r' ncln. JC)l.edLall that apply for the new
. se Vf\L V ,~T 0 st\!U'Ciit" 81;:' JI(jl:;::':;
Permit: -y ~ Trusses: ~ OF C ",8;\'.:::J..J./).' '" ..,."....J.1>.l~
,"'-'> 'I..'l<AWI::bPACS:E l,""u & BEAM
Lot Split: _Y _N Sump Pump: Y _N 0 lm\llANA / BASEMENT /'
Does any part of the property lie within a special Flood designation area: _ Y ~N WALKOUT:_ y-LN
J:) T C.
PLUMBING CONTRACTOR:
PAul E. SM;n-1
Plumber's Indiana State License #:
1O/77?
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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 will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z-289) and amendments, adopted under authority of I.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
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
" . LoR" A. B;RbSot.\G-Ht""I;/J( ~J~IlDl.,
Print Date
OFFICE USE ONLY: ** * ***** **** ********* *** ********** *** *** * ** * ***** *~ *******************
Filing Fees: /0 / 5. "10
INSPECTIONS REQUIRED: . "1'7 7. <' ,1 # Charged Re-
~ Base Inspections: d _ _ 0 2.P
Upper Footin ~r FootinE> Under Slab --- -? 0 Reviews
" Cert. of Occupancy: ..) .J. <'
~~Final'Site ~ c;, '0
Additional Fees
\DL~,
Reviewed/Approved: Dept. of Community Services (Date)
S:Permlts!FoITTIS/ILP RESIDENTIAl
30
Fee Received by;