HomeMy WebLinkAbout06050230 Application
City of Carmel! Clay Township Permit #: 0 It 0 (' n 'J:3yr)
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME )
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STREET ADDRESS
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PHONE
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FAX
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CITY
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is,
STATE
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ZIP
<.ft.z.~ 7
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS
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NAME \)
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BEST METHOD OF CONTACT:
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PHONE
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FAX
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STATE
ZIP
STREET ADDRESS
~
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LOCATION
&. PROJECT
INFO:
SUBDIVISION N E
ADDRESS OF COf(STR~CTION D I
l"if7'1 IJ,.J..<..~I-O.
CMnu.) /).)
SEWER UTILITY
PROVIDER[.l" -r;;:;,d,
NAME OF UTIUTY CAVATION CONTRACTOR; PlAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPT!C , (!!)N>PLICABLE):
TYPE OF CONSTRU~EASEO f iITC~95IJIMPll.~J~T:
~INGLE FAMILYSubiec\ \0 corr, : [ill L~~~,:;b, ""'ES
o TOWN HOME' 01 S\8~~~, ItjtOWAt"Qm~~\P
o TWO FAMILY DEl'i OF C, ~Aiiif3ffl'O~irs)
# of units:' Or CAR 1J..~!!1DEL
o MULTI-FAMILY en'! \:\:'lO\Iit~ESSORY BUILDING Which plumbing codes will be applied to the const.uction,
o R:s~6~~~~L (For 0 DETACHED GARAGE 0 International Residential Code wI Indiana Amendments
, , 0 bJ=fACHED GARAGE 0 U 'f PI b' C d II d' A d ts
Additions, Remodels, E\c.) g.-""'DEMOUTION "' onn um 'n9 0 e W n ,ana men men
"".-.slc.- ';,-1-0 1* k.",vc......... (Multl'Famlly Construction Code)
PROJECT INFORMATION: /' ' '(:! u. cVVtL . .J
E I R I ~:l~c- ~"'ci riil"'SL "B...vVL +0 FOUNDATION TYPE: (Check all that apply for the new
Par y "te ease Y N T nu a u b <- :K...\Ul uc.c.lconstruction area)
erml : russes: l'~
- - - - 0 CRAWLSPACE
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y_N
PLUMBING CO
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TOR:
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Plumber's Indiani..State'Licerise-#,'-'
o
o
POST & BEAM
BASEMENT
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 comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1 3" (Z~ 289) and ame e opted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto, rther certIfy that 0 y, t e, ath, and floor drams are connected to the samtary sewer I further cernfy that the constructIOn WIll not be
used 0 cupled Ce jJj a '0 ccupancyhas bcen Issued '..jhe Departmcft of Community ServIces, Carmel, Indlaoa ) /
,~,,^-+-A. WJ~<-o~ _,~C'l!b
Si Gti!!.t. 5~ ,,: . ..~.\bate ---"-,.:__.:..-J
OFFICE USE ONLY: ****************************************************~~****************
Filing Fees: I 3 3 . ~ U
INSPECTIONS REQUIRED: . .'5 ~ I SO
Upper Footing Lower Footing Under Slab ~~:li:~~ .r'\
6J I (4. (') , 0 V
(~ .
Rough In Meter Base Final Site
P .R,LF.: ~ Additional Fees
(~3'1q.oo
Fee Received by:
# Charged Re'
Reviews
Reviewed 'p' r. ved: Dept. of Community Services
S:PermitsjFor s!lLP RESIDENTIAL