HomeMy WebLinkAbout06080002 Application
~02
City of Carmel/Clay Township Permit #:~ C. O~ DCO;;2
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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8- CITY{ D
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PHONE
5j 0-1257
CITY
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BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
LOCATION
& PROJECT
INFO:
~
STREET ADDRESS
/3re4-VJ
2. ~nE~0Ar~
ADDRESS OF CONSTRUCTION
1.-/13 IrI;.
sr;5
ZIP
32-
r;2;g/Oel-nT~
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I' \ 1'-: . fC'~' i r ' n ____~ j
l!n\ IS i'---'7,iC_" )i ..~: !,SQUARE
Iii' /I! -, :::=:_--=='--~___---='''''! FOOTAGE:
,: -- i) :: ~
II~ATED COST OF CONSTRUcnON.~ I j i I
J J !(EXCLUDlrkl IIIND VAnUE~006 -,;, '-
JI) .R1Jt)'T_ I l.. L-;,' !
:U L illl/!
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TYPE 0 N UCTION: TYPE OF IMPROVEMENT: PLUMBING-CONTRACTO _, _ ___I
SINGLE FAMILY 0 NEW STRUCTURE
TOWN HOME 0 ROOM ADDmON(S) Plumber's Indiana State License #: .... '4
TWO FAMILY 0 PORCH ADDmON(S) 'P'..... ~
# of units: 1% REMODEL ~~ flJ:t"J --e:: ..~
o MULTI-FAMILY /0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction: ~ ~
# of Units: 0 0 "-..1>
O DETACHED GARAGE International Residential Code w{Indiana AmendmentS,.
RESIDENTIAL (For 0 ATTACHED GARAGE . _
Additions, Remodels, Etc.) 0 DEMOLmON 0 Umfonn Plumbing Code w{Indiana Amendments
~ (Multi-Family Construction Code)
PROJECT INFORMATION: vi
Early Release ~ufactured FOUNDATION TYPE: (Check all that apply for the new
~ construction area)
Permit: Y N russes: Y N
, - - - - 0 CRAWLSPAC~ 0 POST & BEAM
Lot Split: _Y _ Sump Pump: _Y _N 0 SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y _N WALKOur:_ Y_N
SEWERUTILIl}" _A ,....-1 WATE UTILITY;:> A.Il.J\ttr7
PROVIDER: (.I'\p~<-- PROVIDER: ~, ~
NAME OF UTILITY EXCAVATION CONTRACTOR: PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
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 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" ( 289) and amendments, adopted under authority of I.C. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I fun ertify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or aceu e uut- a <:rtiDcate ofOeeupancyhas been is;;!ledby he-Department of mmunity Services, Carmel, Indiana_ ") L~, 1
// '. 7~00
/ ~~ ~~
OFFICE USE ONLY: **************~**~;Jr.. **J,*tc"*.~* *****************JIf************************
'Or? 7- F' 9 Fees: / ?:3 ,SO
INSPECTIONS REQUIRED. '
Base Inspections: / /;. IJ 0 # Charged Re-
Upper Footing Lower Footing Under Slab '~3._ )() ReVlews
e G Cert. of Occupancy: " ')
Rough In Meter Base Final Site /'.2
P R IF' ~ Additional Fees
~ h ~/Ob "'C~/dS!I;;O
~Re ed/App : Dept of Community $oNices (Date)
S:PermIts/Forms{ll RESIDENTIAl Fee Received by:
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