HomeMy WebLinkAbout06060131 Application
City of Carmel/Clay Township k J j4) Permit #: CJ '" ()" 0 I :3 \
RESIDENTIAL IMPROVEMENT LOtATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME
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STREET A RESS
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LOT #
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ADDRESS OF CONSTRUCTION
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SEWER UTILITY
PROVIDER: b- ,Ie. w ~
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
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SUBDIVISION NAME
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WATER UTIUTY ___ \ .
PROVIDER: .-frJ'dr'. ~ k;
PHONE
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FAX
~ \1-2Z&-00 5'1
STATE
AI
ZIP
'-f{.z.f..
Ic.D 1,8
PHONE
'3' 1- 1>4
FAX
-c,<iszo
CITY
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STATE
ZIP
t1bo3
We-st-
SECTION
ZONING:
SQUARE $30 'if ~..cl
--"<:OJA~~:__:II~o ~.:r~ (
!; l' II"" 1., II \ -. ;."..,,6.:
ESTIMATED COST OF] CO R.UG110N:-.:._ ,;j \/ , f. 11 ,:~1-,
(EXCLUDING LANO v~~~9IJil 1-:r:-o--o~-O---- i-I. i i ri If I
I' ~'J .J I IOJ! d
Ilfll JUN 1 9 2006 Iii III
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PLUMBING CONTRACTOR:------______.J ,-~ i
Wr\~~"t evl+...", P\v""bl"~ '. !
Plumbe s Indiana State License #: - ..-----
L.C laZOD"? 4?,
'\Y I V <... ~rML
NAME OF UTILITY EXCAVATION CONJRAITOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
1&- 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 ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
PROJECT INFORMATION:
Early Release
Permit: _Y vN
Which plumbing codes will be applied to the construction:
l::i1- International Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_Y V"":N construction area)
Trusses:
o CRAWLSPACE
Lot Split: _Y vN Sump Pump: vy _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y vN
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 with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (2;289) and amendments, adopted under authOrity of LC. 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 are connected to the sanitary sewer. I funher cenify that the construction will not be
pied until a Certificate of Occupancy has been issued by the Depanment of Community Services, Carmel, Indiana.
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OFFICE USE ONLY: * * * **** * **** *** *** *** * *** ******** ** *** ***** **** **.Y* **** * ******** ********
Filing Fees: /:> h r, -)V
INSPECTIONS REQUIRED: .. EASED FOB CONSTFUC "2~ . :';j .3 3 -0 () # Char'ged Re-
e.tSlllWC co_~I?!J.~ regul~t - ~ Reviews
_of St<lrertf1dflOOlli~~~- . 0 3 SO
. .IF G.O,r~r;.1\JNITY SERVICES~ (J/ (! 0 Additional Fees
CITY OF GARiJrE['j CLAY TOW~JSH id ()
IN ANA AL: ~Jd..1 7-d
te a.
Reviewedf Approv
S:PermIts/Forms/ILP R
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WALKOUT: VY_N
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Date I I
(Date)
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