HomeMy WebLinkAbout06060155 Application
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Acce ory Structures
BUILDER of
RECORD:
vA} ~~O ~~+,~EVI i51~
'efi~ ~l\A If C~l5'flL Of1-. CITY ('Nun VL-
au LDER'S EMAIL ADDRESS
tJl"\)- e. Pl\('Alt.i?t;U1I-T G6Y'Y\
NAME ~'iI IVwu1 ~1.v0l/HON 3)0 g'4{3f,{f>
I CITY ~Yl1lJL,
SUBDIVISION NAME i)11f" W~ t WJuj~J C
ADDRESS OF CONSTRUCTION ) yo 3 ~ Sl\lJJ Bu V c~ OfL-
PROPERTY
OWNER:
STRE
LOCATION
&. PROJECT
INFO:
LOT #
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER:
NAME OF lJTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKEr
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
. SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit: _Y-X-N
Manufactured
Trusses:
BEST METHOD OF CONTACT:
PLUMBING CON
<5 (B U L-/5)-- PLUm
J 202006
'];\J0,
Plumber's Indiana Sta e License #:
~ g J Clrr J.t:::s- Lf-PC
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
.. Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
_Y~N
o CRAWLSPACE
lot Split: _ Y S-N Sump Pump: ~ Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y -I-N
o
~
POST & BEAM
BASEMENT
WALKOUT:,.l{L Y_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS 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 with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -1993n (Z~ 289) and amendments, adopted unde uthority of r.c. 36~7 et seq, General Assembly of the State of I diana, and all Acts amendatory
thereto. I t c at k hen, b t n oor rains are connected to the sanitary sewer. I further rtify th the construction will not be
e tjIi e fOc u y as be niSSUedbykt\EV5~cn~co~ Pdm~e1.Indiana~_ 2O-0~
Print Date
,
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CITY OF CARMEL j, LAY HIP
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INDIA.,. ,
Reviewed/ A ro
S:Permits/Forms{
(Date)
Fee Received by:
# Charged Re-
Reviews
. Addibonal Fees
70