HomeMy WebLinkAbout06040154 Application
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City of Carmel/Clay Township \Y ~ Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
CITY
L::C
FAX
NA
BUILDER'S EMAIL ADDRESS
BEST METHOD OF cONTAcr:-;"~;:'=::-~--._,.__
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/'A "! c"o',,_ ,,_'C" I /71'~'T-'
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SEWER UTI
PROVIDER:
PROPERTY
OWNER:
STREET ADDRESS
~
CITY
LOCATION
& PROJECT
INFO:
lOT #
NAME OF IJT1LITY VATION C TRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
c;p.-5fNGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
"
TYPE OF IMPROVEMENT: PL~NTRACTOR:
D NFW STRUCTURE ~ ~ T.rU--J
o ROOM ADDITION(S) Plumber's Indiana State License #:
B :~~~~~'tOR ~~~ CJ ,/ 0 /
o Ac~.lII?Jfl_lnnc-'llilfllo\l,~lMlMllI be applied to the construction:
o DETACHED cOilfA. and .~Illl-onal Residential Code w/lndiana Amendments
o ATTID1BE'Cf<ta,?,QOMMLJtiltx~~~W Code w/lndiana Amendments
o D~ CARMEL I CI.Mr1lt;rQl/l~~ion Code)
INDI~NDAnON TYPE:
Manufactured ~
__V ~ ~ N construction area)
_ ----L-1ILl Trusses: , ,
/.:' "\ ,6J 0 CRAWLSPACE
Lot Split: _Y ~ Sump Pump: ~N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~
PROJECT INFORMATION:
Early Release
Permit:
(Check all that ap~IY f rth n ~
o POST & BEA
rsJy BASEMENT Crf)
WALKOUT:_Y 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 requested by this application will comply ,an con 0, all applicable laws of the Scate of Indiana, and the UZoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments, adopte nder authority of I.c. -7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
ther . I further certify that only kitchen, bat, and floor drains are connect to the sanitary sewer. I further certify that the construction will not be
u d or cupied until a Certilicateo[Oc pancyhas been issued b D artment o[Community Services, Carmel, Indiana. / / /.
' - 0/;; W~!t2b
,
Date
NSPECTIONS RE IRED:
@er Foot~ Under Slab
,
~****************~**~~o*~'~'~*********
Filing Fees: 1-, I - 0 hJ, I {/
Base Inspections: ? 71 ) () # Charged Re-
? ReViews
Cert of Occupancy: '1 3 - 5'0
~
P,R,LF,: / J (., I- 00 Additional Fees
c--- .. ATAL:' .$ Ji )1. /tJ
~e!#~cefZ) /a-~
OFFICE USE ONLY: *******
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsfFormS/ILP RESIDENTIAL
Fee Received by: