HomeMy WebLinkAbout06050141 Application
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City of Carmel/Clay Township l;). b ~ Permit #ChOSo/W
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
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PHONE
FAX
ZIP
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PROPERTY
OWNER:
FAX
STREET ADDRESS
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STATE
ZIP
LOCATION
&. PROJECT
INFO:
SEWER UTIY'"l1 _
PROVIDER:~~
NAME OF UTILITY EX VAT]
NUMBERS; TAC DATE(S); A
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JtB.ING CONTRACTOR:
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Plumber's Indiana State License #:
c-P /06(0)15 I
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W STRUCTURE
RO M ADDmON(S)
P H ADDmON(S)
EMODEL
ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
DETACHED GARAGE ~ntemational Residential Code wflndiana Amendments
ATTACHED GARAGE . ,.,,,:-t:Ir'llIJ .
DEMOLITION Cl~'5'1'\Il"'la4liftytl>de wflndlana Amendments
". . 'SeD FOR CtM I-~~\,!!g:ala~n Code)
PROJECT INFORMATION: 'f\E.\:EA :- ffI?I\anCe WI
..", "'y~ A M..""~",,, i ~ ~:'" ,.IiP!/fO!!~S(-'" ......... ""..-
Permit: _Y -V Trusses: ~ COI~ -:rC\\AINS\-\\P <rrn Ishea ',I
, 0 TUr . ~L:)I"I\(!~ 0 POST & BEAMf"Q.rhct t.J
LotSpht: _Y.~ Sump Pump: ~AR~~'E.' ~ ~ASEMENT YO
Does any part of the property lie within a speciM oOddeSignatiW~: _Y ~ WALKOUT:_Y~
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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 v..'ith, and conform to, all applicable laws of the State of lndiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments, adopted under authority of r.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 arc connected to the sanitary sewer. I further certify that the construction will not be
u r occupied until a Certificate of Occupancy has been issue the Department of Community Services, Carmel, Indiana.
:=> eel/. r h /"-3 /{j ~
Date
OFFICE USE ONLY: *********************************************~****~********************
Filing Fees: ( 0 O'U > I u
< INSPECTIONS REQUIRED: <") 11.. /()
~ ~ _______ .~ Base Inspections: L L
~pper F~<""Lower,Fo$in9 Under Slab v ::S=3. {O
Cert. of Occupancy: ~
~~tei'1lbe P.RJ.F.: -l1. U (\Q
w A- TOTAL:
# Charged Re-
Reviews
Additional Fees
ReViewed/Approved: Dept. of Community Services (Date)
S:Permits/formsjllP RESIDENTIAL