HomeMy WebLinkAbout06060162 Application
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City ofCarmel/C/ay Township Permit #: 6f.J(Jf.R d /0P-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, IlL Two Family: New Structures, Additions, Remodels, IlL Accessory Structures
ADDRESS OF CONSTRUCTION
BUILDER of
RECORD:
NAME .
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
IlL PROJECT
INFO:
LOTi '14
SEWER UTILITY t1
PROVIDER: L:1tWD
FAX
ZIP
PHONE
00 OF CO~I
FAX
STATE
ZIP
CITY
SECTION
ZONING:
WATER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
t~G
SQUARE
FOOTAGE:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW OOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
1/ Manufactured ,/
_Y ~N Trusses: Ly _N
V \ J 0 CRAWLSPACE
Lot Split: _Y L-N Su",p Pump: -*- Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: Y N
For Single Family and Two Family dwellings, additions, remodels, and/or o-.;Y.~~r~hG ~iill~v r:"d\
within 180 days of the date of issuance of the building permit, and must b' :lctoo - r} dIi-adoft) upa
issuance date. Class I structure permits are subject to the General Administ 1 thy ules of the State of Indiana e
time frames for beginning and j~ ting construction.I'l"(\~
t, the undersigned, agree that any construction, reconstruction, enlargement, rel I or alutltfm2?f asttiW'tte, 0 y nge in the use of land ~r
structures requesred by this application will comply v..ith, and conform to, all app i aws of the State of Indiana, a oning Ordinance of Chmel
Indiana - 1993" (2- 289) and amendments, adopted under authority of LC. 36~7 et , eral Assembl 0 nman .and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to he san sewer. I further certify that th construction will not be
use or occupied u d a Certificate of Occupancy has been issued by the Depa tment of Community Servi , \.:liana.
U
TYPE OF CONSTRUCTION:
M" SINGLE FAMILY
'5 TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
TYPE OF IMPROVEMENT:
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
o
PLUMBING CONTRACTOR:
.. (a...-Q S~
Plumber's Indiana State License #:
/611/]
o
o
o
o
o
o
Which plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
~ Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM
P( BASEMENT
WALKOUT:
Y-XN
ly if construction commences
cd) within 18 months of the
lAC 12) regarding expiration
Print
u/ ;:}()/cM
Oate
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Fee Received by;