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HomeMy WebLinkAbout06090031 Application City of Carmell Clay Township Permit #: (')(,.,'ll1 M 3' RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION I For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures I FAX I 8iCO 71 I , 331?6"1(3 BUILDER of RECORD: PROPERTY OWNER: STREET ADDRESS LOCATION & PROJECT INFO: LOT~7 SEWER lJTl PROVIDER: 06 STATE ZIP PHONE FAX CITY STATE ZIP SECTION c. % ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) 'O(j 0 .: I.' :.cd] q .101' NAME OF lJTlLrTY E VATION NTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE): TYPE OF CONSTRUCTION: ~SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units: o MULTI-FAMILY # of Units: o RESIDENTIAL (For Additions, Remodels, Etc.) PROJECT INFORMATION: Early Release Permit: Lot Split: Does a TYPE OF IMPROVEMENT: cyNEW STRUCTURE o ROOM ADDITION(S) o PORCH ADDITION(S) o REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o ATIACHED GARAGE o DEMOLITION ~ PLUMBING CONTRAcrOR:SEP _ 7 2006 Plu~bifx1:l}lit:~icense #: -~-- - . PO O{}4'~/-- ....-..------ -- Which plumbing codes will be applied to the construction: ~ntemational Residential Code w/lndiana Amendments o Uniform Plumbing Code wI Indiana Amendments (Multi.Family Construction Code) Manufactured Trusses: Sump Pump: FOUNDATION TYPE: (Check all that apply for the new construction area) _yXN o CRAWLSPACE .x::. Y _N 0 SLAB Flood designation area: _ Y x::::.N o YOST & BEAM ~ BASEMENT WALKOUT:_ Y N For Sin~dr NJ4;t.'n"q.Jfimribtdw~ra1t.~tionanodels, and/or accessory structures, this permit is valid only if construction commences withinISO- d~ys f1fte~~ear{~~ <e~.Hding permit. and must be completed (Certificate of Occupancy issued) within 18 months?f the issuance W.P:pCl~l t~tA1~1.fr~.Pf,rwiW.il\t; s,U. :U:5:t.t~J.b.t..~neral.Ad.ministrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration Ut:. 'I "-,I LUIVllViUl\Jl1 Y ~ ~Vr\kt~rbegmmngandcompletmgconstructlOn. I, the ~etip~ne)lplg'!")A~,,~cop1!t~ ~l:f,Ttjt:W~S'f1ffl'1!argement, relocation, or alteration of a structure, or any change in the use of land or structures requested by this a iITq~l, . complY \vitK and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Inm a 1993" (2-289) and a , opted ':!.-nder-amhority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory the to. further certif th 'kitchen, bath.,and floor drai~'re connected to the sanitary sewer. I further certify that the construction will ndt be jRea orocc ancyhas been iSsb17~partmeCllm;i-ty ;;rvices, Carmel, Indiana9( ~~ , Print Date Site *************************************************** fb Filing Fees: j'~ I ~O f\ \\~ Base Inspections: 1-- '7 7, :s () . Cert. of Occupancy: "'\ ~. 5' 0 f-,/..t; ~ 0 5 (p t. lfO # Charged Re- Reviews Additional Fees P.R.I.F. : Reviewed/Approve Dept. of Community Services S:Permits/Forms/ILP RESIDEfltTIAL Fee Received by: ~ (Date)