HomeMy WebLinkAbout06070066 Application
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City ofCarmel'iCtay Township Permit #: (j(.,D 700(pf..,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
Manui\;JB~~~A
_Y -.iL.N Trusses: _Y V N
L 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump: _ Y vii lM 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 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 thut 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 la\vs of the State of Indiana, and the "Zoning Ordinance of CaITnel
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
ther to. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
ed occuple until a Certdicate of Occupancy has been Issued by the Department of Commulllty Services, Carmel, IndIana
ofownerOrAUthOri~ pr;~\\.e Cu\"C\~,&~ oa!/H/an
USE ONLY: ************************************************~****~*****************
Filing Fees: I~J~< L' Ou
INSPECTIONS REQUIRED: . . /0 00. 0 A
~ b) Base Inspections: tc V
Upper Footing Lower Footing Under Slab A} 1-/. 0 0
~ _ _ Cert. of Occupancy: __
ughIn ~erBasv ~ SitV P.R.I.F.: 501-/1../ . () 0
~ 7)315. vo
1;: 1..; I //1 /L~ '7/21_ foro
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
llr. PROJECT
INFO:
SEWER UTILITY ATER UTILITY
PROVIDER: ~ PROVIDER: C\
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSIO B I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PE IT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY ~NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITIONlsl
-E # of units: RELEASED roR~EtTRUCTIUN
~ MULTI-FAMILY - - l_
# of Units: L\ Subject to com!'d~ili\)(ril\JllJDIIWS
o RESIDENTIAL (For of Stat .nAEJ~ecliAAAGE
Additions, RemodeID~.T OF C I~~~ ~~~ES
'T"'WN"HIP
PROJECTINFoRMAtidlNY OF CARMEL 'U I;:)
Early Release
Permit:
-(jCb) ~7- 5t6d-o
~TE ZIP
_ era. L.\
BEST METHOD OF CONTACT:
t~,\
FAX
3<-\-~-o811
ZIP
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ECTlON
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SQUARE
FOOTAG .
PLUMBING CONTRACTOR:
t.:::l:\ ~er\-.a.{\\(b I
Plumber's Indiana State License #:
\OOllt~~
Which plumbing codes will be applied to the construction:
#Intemational Residential Code wI Indiana Amendments
d Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o
POST & BEAM
BASEMENT
WALKOUT:_Y ..........N
# Charged Re-
Reviews
Additional Fees
TOTAL:
t~~~~ . A A A-A...t.__
Fee ReC~d by: