HomeMy WebLinkAbout06090048 Application
City of Carmel/Clay Township Permit #: OCo,loqOOH3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
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PHONE
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FAX
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STREET ADDRESS
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BUILDER'S EMAll ADDRESS
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STATE
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ZIP
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BEST METHOD OF CONTACT:
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_ FAX
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PROPERTY
OWNER:
NAME
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PHONE
5''16- +'/10
STREET ADDRESS
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CITY
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STATE
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ZIP. 1 0.;::>
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LOCATION
& PROJECT
INFO:
LOT #
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SUBDIVISION NAME
Sf(l./,v l-
SECTION
ZONING:
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(35' f. ie
ADDRESS OF CONSTRUCTION
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SEWER umLITY
PROVIDER:
WATER UTILffi
PROVIDER:
NAME OF LfTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME Ar:;!..r:, 0 ROOM ADDmON(S)
o TWO FAMILY SUbia. A"Si"!! & PORCH ADDmON(S)
# of Units: Clio r ',' . '(2Jr RJ;t10DEL
o MULTI-FAMILY Dr:;p Of S;O:h/JiGi) '.AM~~Y BUILDING
# of Units: el1'< .,.. Ole' '0'9 iiifG)'O'bE'fACHED(GMA,GE
o RESIDENTIAL (Fdr Or' -, CO/v, r;/OAJif"A!iEeGARAGEV
Additions, Remodels, Et&-~1t')l ,_,;fui;, """M~tvlON~"ifO"
'1.~t:!..~\~l-r ('l' . "8
PROJECT INFORMATION: 11'1'" -'0: y~':/?iI:...,
<--IAt, 20' '-,E:c:; FOUNDATION TYPE: (Checkanthatapplyforthenew
Early Release Ma,":JI'Biltureil ~t./V(' ... construction area)
Permit: _Y _N Trusses: _yfJJ.fLN
o 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
PLUMBING CO NT
Which plumbing codes will be applied to the con
o International Residential Code wI Indiana A
o
Unifonn Plumbing Code wI Indiana Amendments
(Multi'Family Construction Code)
o
o
POST & BEAM
BASEMENT
WALKOUT:_Y_N
For Single Family and Two Family dwellings, additions, remodels, andlor accessory structures, this permit is valid only if construction commences
within 180 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 - 199r (Z- 289) and amendments, adopted under authority of r.c. 36-7 ct seq, General Assembly of the State of [ndiana, and all Acts amendatory
thereto. I further certify that only kitc ;bath, and floor drains are connected to the sanirary sewer. I further certify that the construction will not be
used or occupied umil a Certjfi e of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Signature of Owner or Authorized Agent
M/M. /i.... ~
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Print
OFFICE USE ONLY: ************************************************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
Reviewed/ proved: Dept. of Community Servic
S:Permits/FormSjILP RESIDENTIAL
eft: ~-r
-IS r #-^l_r
P.R.I.F.: Additional Fees
~ TOTAL: ~
i~ 1J, t'-I~ NJ!
".-. , . . 11 rilo&
INSPECTIONS REQUIRED:
Rough In
Lower Footing Und~
Meter Base Final ~
# Charged Re'
Reviews
Upper Footing