HomeMy WebLinkAbout06070072 Application
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City of Carmel/Clay Township Permit #: O(aOr;Oo 1);;;L
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME
RECORD:
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PHONE
FAX
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STREET ADDRESS
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BEST METHOD OF CONTAcr:
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ZIP
NAME
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PHONE
PROPERTY
OWNER:
FAX
STREET ADDRESS
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STATE
ZIP
LOCATION
& PROJECT
INFO:
LOT #
ZONING:
SQUARE
FOOTAGE: 5:t"-<lv
SEWER umLTTY
PROVIDER:
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IMPROVEMENT:
E STRUCTURE
ROO ADDITION(S)
P CH ADDITION(S)
EMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
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Which plumbing codes will be applied to the construction: : ",,-: ~
rg.....rnternational Residential Code w/Indiana Amendmen~
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
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PLUMBING CONTRACTOR:
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Plumber's Indiana State License #:
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PR
(Check all that apply for the new
I' ./ Manufactured ./ FOUNDATION TYPE:
_Y ~~ Trusses: _Y ~N constrJll*lonarea)
. /, /:: if 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 v-r:
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POST & BEAM
BASEMENT ~
WALKOUT:_Y~
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For Single Family and Two Family dwellings, additions, remodels, and/or acce.", ~tfd~~rq.~-WQ):pt0N:tion commences
within 180 days of the date of issuance of the building permit, and must be cof.tt~'(g~'[lcate":Pt bccu.I'.it~Y. !Ii~'~) I~PlfP months of the
issuance date. Class I structure permits are subject to the General Administratj8~~~~tlt~~~fl.f1RRah1i )$.~'5 ~ltt~.r1rregarding expiration
time frame . ning and completing d'l)'hStilt6citDd Loom vo es.
1, the undersigned, agree that any construction, reco ction, enlargeme ,doca~'Pf.tfI)1f10R~K~8~tPESse of land or
structures requested by this application \vill com with, and conform to, all ap 'ca'ble1aws or~h.e^~~~eJ dp~.auc.;l}:he.~\>~jAA~mmnce of Carmel
Indiana -199r (Z~289) and amendments, ado ed under authority of l.c. 36-7 et s lCRr{eQ~s~fllr 9i:a~~iJn\r,lW~cWamendatory
thereto. I further certify that only kitchen, th, and floor drains are connected to th 'sanitaryse\\:er. I frtOO~that the construction will not be
used or occu ied until a Cere' kaee of 0 cup cy has been issued by the Depart em of Community Services, Carmel, Indiana.
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re of Owner or Au orized gen , . \Pri t Date
'1FFICE USE ONLY: ******* *******,,***~*'******. '*****************"1-"'?;f**********************
,(/- Illng Fees: _LL If)
INSPECTIONS REQ RED: " . . ,
_ Base Inspections: .j d-;;2 00 # Charged Re-
~r Footi;;{j) Lower Footing Unde ab C7' r () ReViews
~ ~ Celt, of Occupancy: ~ ,1, <)
,~.;gh~ ~ ~ P,R,I.F,: /1 b(. (J() Additional Fees
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a APpro~ed, Dept ofcommu~ seNice: (D~r:f ~e{!.f.1kja 1I#d~~ /~~
prmS/IlP RESIDENTIAL
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