HomeMy WebLinkAbout06080006 Application
City of Carmell Clay Township Permit #: 0" 0 ~ n000
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER lJTILITY
PROVIOER: Q,IJ'<-?
NAME
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PHONE
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CITY
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STREET ADDRESS
STATE
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BEST METHOD OF CONTACT:
PHONE
NAME
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Q
STATE
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lOT #
c;,~
SUBDIVISION NAME
'2,.. )
SECTION
ADDRESS OF CONSTRUCTION
S. tI -
WATER UTILITY
PROVIDER:
~
TYPE,OF CONSTRUCTION:
r;1 SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
/ # of Units:
IA'l RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
~ PORCH ADDITION(S)
lJ!:l REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATIACHED GARAGE
o DEMOLITION
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) r;::---
ll~ ~
\\U c=
II
PLUMBING CONTRACTOR ) I
q~ ~\...Vl"'" b I U U
Plumber's Indiana State Li nse #:
~ OOe.OD~~~ L
NAME OF lJTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
FAX
FAX
ZI?
iV-eo .~
ZONING: ,
'2,-
SQUARE
FOOTAGE: \ \loo
. "l
Be:> ~~ F\\ I
AUG _ , 1 CO l~
Which plumbing codes will be applied to the construction:
o .;ntemational Residential Code wI Indiana Amendments
rsI Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
/ Manufactured /
Y N Trusses: Y . N
- I 7 - 0 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 ~N
~
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 perm it, and must be completed ~e rtiticate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are s~. ct Ii. I i2i~~A ~ the Stat~ of Indiana (See 675 lAC 12) regarding expiration
1 ; ra '..'. ID~e~&.c structlon.
I, the undersigned, agree tha.t any construction, ' ' . ., re cat~o:2;'r alt~ation 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" (Z~289) and amendments, adopted under authority of r.c. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory
the to. I further certify that only kitchen, bath, and Door drains are connected to the sanitary sewer. I further certify that the construction will not be
use lor occupied until a ertificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Print
OFFICEUSEONLY:**********************************************i~~***~ff***************
Filing Fees: ~ .5, .) .
INSPECTIONS REQUIRED: 'I. 1-/, O' 0
Base Inspections: _
Upper Footing Lower Footing Under Slab 3 .r ~I
~ Cert. of Occupancy: J . <aJ {/
Ro~gh In Meter Base ~~ Site
P.R.I.F.: .
~;2J'PO~
Fee Received by:
,
~
ReviewedjAppr ved: Dept. of Community Services
S:PermitsjFormsjILP RESIDENTIAL
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# Charged Re-
Reviews
Additional Fees