HomeMy WebLinkAbout06110059 Application
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City of Carmel/Clay Township Permit #:00 II 005~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
NAME:
T;
STREEJ; ADBRE~k.L
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c.:.
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FAX:
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, ' ~,~\f,',i: :'ESTIMATEDC6s,:PF,coNsrRUmoN;,'~;f:, H II'l
II , ' :(t;'\t"~UPINGLAN6VAt.UE),,,F:"; ,'" '"M."" 00
l.:...l\.\kAo Ii;;'"l~.:.,,~'.~t,"'.' ~ '''.._'.: ' 'C',' ":1';1" '
NAME OF lITlLfTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET ' __
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICf'lMf '.
FLOOD ZONE AREA DESIGNATION(S) xL " ....,-1. .J _ -.I \ cxr~ '
FOR THIS PROPERTY: .~ (A..' .::7IGlCAc.a. )
\1
PROPERTY
OWNER:
NAME:
LOCATION
&. PROJECT
INFO:
SEWER lITlLfTY
PROVIDER: C-.t f'
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
~ REMODEL
..x Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOLmON
Early Release ~ ~anGfactured
Permit: _Y _::_.}-J /'Trusses:
Lot Split: _V ~ Sump Pump:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
;;; RESIDENTIAL (For
Additions. Remodels. Etc.)
_v-1-N
_V..,LN
PHONE3/ 7 117 b'02A
FAX:
PHONE:
57 -I q Y D
CITY:
tAX'''''' '.
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TAX ~AJi'P~RCEL #:
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PLUMBING CONTRACTb,~;i;.:;;;:'/ 'l.\)\)~ I \'M\
~)~ ~ 'r-e,cJ<.,t\ \\\ . \)\l \ (J I ~
Plumber's Indiana State'license #: ~ ..........-II
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Wh' h I b' d 'II b \ \ ~I'ed"" \~h -~.._. ----~
IC P um 109 co es WI e app I to t e con::.u _IOn:
o International ReSidentiai~"'/~ Amendnients
o Uniform Plumbing Code w/lndiana Amendments
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FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ BASEMENT (WAlKOUT:_V-A-N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only:if construction commences wit~ ISO
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 pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames foe beginnihg 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 - 1993" (Z~
289) and amendments, adopted under authority of LC 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 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 used or occupied until a Certificate of
Occupancy' as been iSSrY t~;Jart t of comm/eMc\7/;;d;ana~ -T {)I 1l.11-4 JJ _ ~ ~ 0 0
Date
INSPECTIONS REQUIR
Upper Footing
~9h~
Lower Footing
Meter Base ~ Site
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# Charged Re-
Reviews
Additional Fees
P~~;g9~f'"
(Date)
Fee ReceIved by;
Date