HomeMy WebLinkAbout06050101 Application
City of Carmel/Clay Township Permit #:()0n50 /01
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
For Single Family and T-a .' V~l~l!l~'fliJ.~. 'PWttffw>>ckI~u~essory structures, this permit is valid only if construction commences
within 180 days nfthe <Snlttaja 1Q&Qtfltl1'el~JE In ~;'8 d must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure periOttStatilepH. Gt:nl r A~I\lJ.Ii~tive Rules of the State of Indiana (See 675 lAC 12) regarding expiration
~T nF COMMIJUlO~TMr md~ompletingconstruction.
I, the undersigned, agree thR.m cbnsr~1.l.c..\.I8\~s,~,i<JS.v~SMlRion, or alteratio~a s trfillim~~~f~cIFr
strUcturesrequesrcdb th s cta~~trW:i~h,ai1dconformto,allapplicablelawsofthe an'. _ . ." ,~:a,g9ftl!ff~C~6\fCarmel
Indiana -1993~ ~ and mendments, adopt4NIi}I\Alt~Amity of LC. 36~7 ct scq, General Assem .... . e a a\Jimd mActs amendatory
thereto. ther ify th nly kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
til a incace of Occupancy has been issued by the Department of Comm ty Services, Carmel, Indiana. (
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. Print If-7
BUILDER of
RECORD:
~p..{,
PROPERTY
OWNER:
LOCATION
&. PROJECT .
INFO:
SEWER UTJUTY
PROVIDER: C Ct YmeJ
WATER UTILITY ,
P OVIDER: Ca.Y/'\o1e..1
NAME OF UTIUTY EXCAVATION CONTRACTOR; PlAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTHAMILY
# of Units:
jJ( RESIDENTIAL (For
Additions, Remodels, Etc.)
~ TYPE OF IMPROVEMENT:
o NEW STRUCTURE
.JA;,r/JlO' ~ Reel+ADDITION(S)
o PORCH ADDITION(S)
l8f' REMODEL
"'d ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release ./ Manufactured ./:
Permit: Y ./N. Trusses: Y N
Lot Split: = Y -.1Lf( Sump Pump: _ Y v;:;
Does any part of the property lie within a special
-.",,~
******************~*~~;*****************
9 Fees: / ':) .) .~
ase Inspections: J / /. (}() # Charged Re-
It . /;1 ReViews
Celt. of Occupancy: s-3. '" v
OFFICE USE ONLY: **************
INSPECTIONS REQUIRED:
Upper Footing Lower Footing
~OUgh ~ Meter Base C ~I~ Site
PHON U
FAX
717-'190.89'>'1
STATE
.:::h
FAX
STATE
::::P.
ZIP
$'6~~ "5
'S-'J
SQUARE ,.iJ?J '/
FOOTAGE: ~ 0
~
Lfbo7)
ESTIMATED COST OF CONSTRUCTION: AI-
(EXCLUDING lAND VALUE) Il
t/O~
. r'<..
I.
,it I
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l1rY'I !:~
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I'! Irl
PLUMBING CONT . .
i i: ' , : MAY 1 5 2006
Plumber's Indiana ~~~~I~~-,,~~~__.._..
i
Which plumbing codes Jill-be applied.to the construction:
o International Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
:11
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FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o SLAB
tion area: _Y_N
o POST & BEAM
o BASEMENT
WALKOlfT:_Y_N
P. R.I. F. : Additional Fees
e.~jh~~?j{:i-/~
CI"'6-" ~ ftl.~'Ar <;-"2. 3-66
ReviewedjApp ved: Dept. of Community Services (Date)
S:Permits/Forms(IlP RESlDE:N11AL
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