HomeMy WebLinkAbout06070064 Application
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City ojCarmelfClay Township Permit #: ~: 1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
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~~.oNE
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.ffiro
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BEST METHOD OF CONTACf:
PROPERTY
OWNER:
PHONE
N 3)11-
9:l(et ~:~~ G1.lruis
-cfto
3\f\-~-
r-.... STATE
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LOCATION
&. PROJECT
INFO:
SEmON
;;;l
SEWER lJTILITY
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
o SINGLE FAMILY lif' NEW STRUCTURE Cb ~~'l\icn \
o TOWN HOME 0 ROOM IWD,I,T.IRNi!i~N Plumber's Indiana State License #:
o TWO FAMILY EO tmRF6Re:FI~[\DifibN(S \ illd. -
# of units: RELEAS - ~ ~DEI2.\1 regul,," ns 00 t~
CiY' MULTI-FAMILY Subject to com _,a cJIC6E5$~Il!)ILDING Which plumbing codes will be applied to the construction:
O # of Units:~( of Steat n.~~~W>.l:Jf:ES ~nternational Residential Code wI Indiana Amendments
RESIDENTIAL FO~r;T OF '}(tTAC;:rj(iI) '""""'-SHIP _/
Additions, Remod '}..F CAR:MEIs~Mdt:ftt( T'\::rO....~ III Uniform Plumbing Code w/Indiana Amendments
U DIANA ON (Multi-Family Construction Code)
PROJECT INFORMATION:' IN
FOUNDATION TYPE: (Check all that apply for the new
Early Release Manufactured
/' . /: construction area)
Permit: _Y ~N Trusses: _Y ~N
_ ./ 0 CRAWLSPACE
Lot Split: _ Y ~N Sump Pump: _ Y v1'J iQ'" SLAB
Does any part of the property lie within a special Flood designation area: _ Y....0
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 will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
lndiana - 199r (Z~ 289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
th . 1 further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
sed 0 oceUPIG;nnl a Cer;] cate of Occupancy has been Issued ~\i~C~~\tmUlutY ServICes, Carmel, IndIana 71 fLi h.o
of Owner or Author. ed Ag nt Print 5 Date
EUSEONLY:***********************************************~************************
Filing Fees: J~!) 7. 00
N mONS REQUIRED: ~ /- 00 , 00
Base Inspections: LQ
Lower Foot~ Under Slab '"2,/ 'i, 0 0
- - Cert. of Occupancy: _
~ 5oJ.ILJ. DO
P.R.LF.: TI _
It 1,3/5", 00
~ ~ It t?JI,d 7/-zJ,ltJ~
# Charged Re-
Reviews
Additional Fees
TOTAL:
OO~Fee R;ctf Jl_4t A.,v 17,