HomeMy WebLinkAbout06110036 Application
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City ofCarme//Clay Township Permit #: Of, II ()7J J(g
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME hi J~id
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STREET ADDRESS
/431>>
/ ST:TE
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PROPERTY
OWNER:
PHONE
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CITY
ZIP
LOCATION
&. PROJECT
INFO:
LOT # '1)/ SUBDIVISI~N NAME ) , ..
0/'1 -1-, n 0 inS )~ e
i4~90NSTRumo~N kUFJ
/1/.r. WATER UTILITY /1& II Cl7J.J1;
<....- VI PROVIDER, C 'a i<JYI e r
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. ZONIN':.5-::-j_--'
SQUARE ~/ () 1
FOOTAGE: --J / Or(.
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRumON: '1" 8 .P\/'IO
(EXCLUDING LAND VALUE) r::>/CX- UU
TYPE OF CONSTRUcnON:
SINGLE FAMILY
E
o
- i<.e;Jj-
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: 1 /
fjff NEW STRUCTURE ,!.,- 1) /l/ecf)CVYJI'Ca.
TOWN HOME 0 ROOM ADDITION(S) Plumber's Inn~ 'ana State License #:
TWO FAMI~Y 0 PORCH ADDITION(S) ~C- A 10 r; L!c 5"' -/~
# of units. 0 REMODEL ___ n , -- - ~
o MUL Tl-FAMIL Y 0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction: ,,~ I:
O R#ESOIfDuENnTIltsA' L (F .'(.:1 l':::' r.lt:"@ ;:p,iff~~Q.~I'l!-T!O-.""' International Residential Code wi Indiana Amen e~1
or ",-' -'" ' "0 ATtACHED GI\RAGE' NT _ _ . 'C
Additions, Remodelsj'lEli:lD,' '''..0 DEMOLITION 'C _":'"~;".w Umform Plumbing Code w/lnd,ana Amendments" i
' . ,(Multi-Family Construction Code) -
:R~J:~INFORMATIO~::tJ_ M f ct d - i':'>;;~OUNDATIONTYPE: (Check an that apply for thl 'f"
Par y. e ease yCiJ:ir' (h T).~~j~ ~ ure, .,;.\lJy' r.i~ l~ f"lfv~~onstruction area) I;: "
ermlt: ~N russes: ~ 1'4 I.... ' I
- if~LIA""iO - 0 CRAWLSPACE 0 POST & BEAM ,lit
Lot Split: _y ~N Sump Pump: ~y _N 0 SLAB ~ BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y 1N WALKOUT:_ Y 1N
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For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction com~ences
within 180 days ofthe date of issuance ofthe building permit, and must be completed (Certificate of Occupancy issued) within 18 months ofthe
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 strucwre, or any change in the use of land or
strucWres requested by this application will comply with, and conform to, all applicable Jaws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" (2-289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatqry
ther . 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
OCCUpi,~d ntil a Certificate 0 Occup,ancyhas been issued by e Depa m nt of Com nity Sjrvices, Carmel, Indiana.
. . lie. '()(YJ~ I/-J-(}(0
NAME OF UTIUTY EXCAVATI N CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
Print
Date
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Filing Fees: 7o.f,;2o
J17 Sf)
. 53- jO
! i--6/ 00 Addlllonal Fees
L-;, /TOT~AL:~f c2 )tJO, JIJ
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Fee RetelVed by:
Base Inspections:
# Charged Re-
ReViews
Cert. of Occupancy:
P.R.I.F.: