HomeMy WebLinkAbout06090031 Application
City of Carmell Clay Township Permit #: (')(,.,'ll1 M 3'
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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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
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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)