HomeMy WebLinkAbout06090005 Application
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City of Carmel/Clay Township Permit #:()ld)C1()()05'
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SEWER IJTI~
PROVIDER: C
STREET ADDRESS:
II'
LOT;37
SUBDIVISION NAME:. J r1 ,---;)
lfL' '(}JL.. rc,.r
FAX:
lYL
esA.~
J),..',ve
j3J
ZIP:
4&033
SECTlON:
ZONING:
c-
SQUARE
FOOTAGE: ~
ESTIMATED COST DF CONS!f/L.:;r;/: ,,---'-_
(EXCLUDING LA, !'iD,YALUE) -,,0-;,----',=:-;- ::-_ i
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TAX MAP\~~R~E~ #: ! I \ 11'[
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PLUMBING CONTRACT;:---,----.
'ffu,J ,f.--. m I th
Plumber's Indiana State License #:
iC/77 7
NAME Of UllUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S IF PPLICABLE):
~g~~~~~~~:~~ubJecl 10 compll"n~o with ~I ~"Qul"tio""
\ rf, l n~-_'1\ '"0(",'f~''!.
TYPE 9f CONSTRlf5iElON'OF c,:;liYPHlfIMi>ROVEMENfiS
tV'SINGLE FA'1lI!V;-~i Of CM~rii~ NEW.Srliutftll'R'iN'~;HjP
o TOWN HOME" - . plfih!@PQJ.Il ADDITION(S)
o TWO FAMILY .ty'fidItCH ADDmON(S)
# of units being 0 DECK ADDmON(S)
constructed at this 0 REMODEL
time: _ Basement Finish only
o RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels. Etc.) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
yV;:
y~
Manufactured
Trusses:
Sump Pump:
.0_N
..0 _N
3:DH
Whi9"'PIumbing codes will be applied to the construction:
Clt"lntemational Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM -P;9
o SLAB ~ASEMENT (WALKOUT:_Y ~ )
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 pennit, 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, reconstructicn, enlargement, rdocation, 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" (Z~
289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
,(t. - . L",~',A.R:tl.hSoN&-HEAlJ,'~Jl:
Print
OFFICE USE ONLY: **************************** ***************************** *********************** *
F'I' F Iv 3.:3 50
SPECTIONS REQUIRED" ling ees: . .
" Base Inspections: 1., 77, 6'6
Cert. of Occupancy: , .::;.z ..50
~ -(90
P.R.I.F.:
Dept. of Community Services (Date)
Fee Received by;
'8/3oI0fD
Date
# Charged Re-
Reviews
Additional Fees
I
1{1/ 10 b
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