HomeMy WebLinkAbout06050126 Application
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City of Carmell Clay Township (If' Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structure ditions, Remodels, & Accessory Structures
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
fi!f ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION: ...J
Early Release j 1';/'ManufactUred /
Permit: _Y _N' Trusses: _Y ~N
/ 0 CRAWLSPACE
Lot Split: _Y /N.....Sumppump: _Y_N 0 SLAB
Does any part oHhe PrOp<!rty 'Ii~ within a special Flood designation area: _Y LN
BUILDER of NAME
RECORD:
)
STREET ADDRESS
c..,; ~c-\L ~C'0l-'"
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
LOT #
50
SUBDMSION NAME
~\ v<.. G-<<-\- "" "cc\S
SEWER lJT1lITY
PROVIOER:
ADDRESS OF CONSTRUcrrON
.., ~y, Ta-
eCU-lYIeJ
c.."
:In d. t
. . - Tl\vJ
NAME OF lJT1lITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW OOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'S (IF APPllCABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
_/ # of Units;
[}'l RESIDENTIAL (For
Additions, Remodels, Etc.)
~s ID3l>
- ~4'
-iD9D
ZIP
'loo33
ZONING: .5-2..,
STATE
\~
SECTION
SQUARE
FOOTAGE:
co'
ESTIMATEDCOST,OF CONSTRUCTION:
(EXCLUDING t'AND VALUE);' ." . $:'
Ilf II L'-~ \;:--/7 ': "\',
/lUll'
II [',\
HI/l/
PLUMBI G €ON
/W WI
Plumbe~ Ind;ana state License #:
.Ct5DO
-~--"i i ,i I
11< i i
.il I!
I! i 1 n
ii: 2006
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Which plumbing codes will be applied to the construction:
o Intemational Residential Code wI Indiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
fOUNDATION TYPE: (Check all that apply for the new
wnstructlon area)
/p;erJ
o POST & BEAM
o BASEMENT
WALKOUT:_Y_N
... ,- ~.
For Single Family and Two' Fanlily dwellings, !ldditions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 1i~~e~ ~9J~Nd must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. _'. J.'rfirtc.tu;, re.~ts are s~ ~~~f()l~. e n.era1 :Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
, ~',.-. _' . ~ _o'!fOmp1J~nc:e ...,.." f~ H~ning and completing construction.
I, the undersigned; ~,e.~~~~~Eit~on, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures re~<0[1ff . . Pe@-M~ BR-~1m to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" . '. ~~ .'~', " a 9R e '4;1) :Alti.Jisiri k' 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I fu .. a~Y~~ a~, fdYfl ~~ :liD.ected to the sanitary sewer. I further certify that the construction will not be
: <us~: occupied uutil a:certifica':q~~yhas beeu issued ~y the Department of Community Services, Carmel, fndiana.
CltQ..~Lmi./Y~f Lo..m. ~~'h~~'<<)Q\-. 5 \ \ lo \ 010
Signature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: ****** ***** ********** ******** *** ******* ******jl'****:!\i'l*'l!.'\*** * **** *** *** ***
C ~ '2 Filing Fees: J ltZS.'-1 U
INSPECTIONS REQUIRED: I J it I _ F"l
--" '-' J Base Inspections: (Q '<Z . 5'"--,, # Charged Re-
~r Footi~ Lower Footing Under Slab ?PL &- .~ 0 Reviews
~' Cert. of Occupancy: ,.2::5, '-J
Rough In Meter Base ~al Sit;'>
C / P,R,LF.: Additional Fees
f1J~ 6- -z,-
: Dept of Community Services (Date)
DENTIAL
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