HomeMy WebLinkAbout06100131 Application
City of Carmel/Clay Township Permit #:D.12\OD 13l
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
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For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
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BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER UTILITY
PROVIDER: <:l-P<-<
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NAME:
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STREET ADDRESS:
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LOT#:
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SUBDIVISION NAME:
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ADDRESS OF CONSTRUCTION:
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PHONE:
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CnY:
FAX:
WATER UTILITY .
PROVIDER: Cay m.:=.-I
STATE:
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BEST METHOD OF CONTA'1NVlaNI
PHONE: S~;JlJUJ3S Al!NnWifJOO ..:JO Id3a
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CITY: &UOnllln5~lJ 1I\ST~Wi\ t;..;)UCndwzlI:q 01 perfins
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SECTION: ZONING:
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SQUARE
FOOTAGE: \dot:>
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ,1t:~( <:) .00 !
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TAX MAP PARCEL ,0'j; 1'Jl/ ,,;,::~~,);,
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PLUMBING CONT~CrOR'i~ I J"<l;
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Plumber's Indiana State License #. ',,-- u/>? /(!
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Which plumbing codes will be applied to the ~'nstruc:tion-;V "''Y
~temational Residential Code w/Indian~endments
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Uniform Plumbing Code w/Indiana Amendments .
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE F CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
/ time:
I<lf RESIDENTIAL (For
Additions. Remodels. Etc,)
PROJECT INFORMATION:
Early Release /
Permit: Y ./ N
Yh
Lot Split:
XLu.i1~)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
~DE~K DDmON(S)
U<f RE DEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
Sump Pump:
V /N
/V=N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
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o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ BASEMENT (WALKOLIT:_V A)
For Single Fainily and Two Family dwellings, additions, remodels, and/or accessory structures, this pennie is valid only if construction commences withfu 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 IAC 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 - 1991''' (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 thereto. I further certify that only
ki hen, 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
o 'Fancy has been issued the Department of Conununity Services, Cannel, Indiana.
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Print
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Date
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Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
00Ug~ Meter Base e Site
. Dept. of Community Services
S:Permlts/FormsjllP RESIDENTIAL
I~j
(Date)
# Charged Re-
Reviews
Additional Fees