HomeMy WebLinkAbout07010054 Application
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City of Carmel/Clay Township Permit #:tflDlDJJ5!f
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Stru'ctures
BUILDER
OF
RECORD:
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PROPERTY
OWNER:
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PHONE:
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FAX:
STREET ADDRESS:
STATE:
ZIP:
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TYPE 0 ONST U&fON~~/ TYPE OF\n:"PROVEMENT:
~~~~EH~A:E~~\:~~~;/ ~\ .. ~ ~~~~~~(S)
o TWO FAMILY, \ ~"'\, ~P6RCH ADPITION(S)
# of uni~:, ,i,,\9 ~ DEC5A06ITION(S)
constructed at this 0 REMODEL
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time: \ \ . ,::;, \ /"'" Basement Finish only
o RESIDENTIAL'(For /0 ACCESSORY BUILDING
Additions. Rerl,odels. Etc:l 0 DETACHED GARAGE
~ 0 ATTACHED GARAGE
o DEMOLITION
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LOCATION
&. PROJECT
INFO:
ZONING:
S/
SQUARE
FOOTAGE:S'93 I
RACTOR; PLAN COMMISSION / BZA / BPW DOCKET
UNTY WELL~~D/ORSEPTIC PER~rr ,'5 (IF APPLICABLE):
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7 D1005"3
TAX MA.P PARCEL #:
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PLUMBING CONTRACTOR:
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lumber's Indiana State License #:
cP I /Y'Y'Yi/ 6 I
Which plumbing codes will be applied to the construction:
.
~,tarnational Residential Code wI Indiana Amendments
o Uniform Plumbin9 Code wI Indiana Amendments
PROJECT INFORMATION:
Early Release
Permit:
lot Split:
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Manufactured
Trusses:
Sump Pump:
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CRAWLSPACE
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o POST & BEAM PIER
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For Single Family and Two Family dwellings, additions, remodels, and/or accessory struct'tYr~Hm~~~n6~~~13.. commences within ISO
days of the date oC issuance of the building permit, and must be completed (Certificate ofe~c'iipai'ic~~~;4t,tiiB8~~"\Prs~1 .~. '.. \. -5' Ste. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC12:.Irljg~~~ . . r,' ing and
completingconmuctionnEP, Or v I f:o..V,n\NNS
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or altera~9fM@U~MEWnpkftM use or ra~d or structures
requested by this application will comply with, and conform to, all applicable laws of the State ~iiln~Ad h(~ "~oniAg~iA.1'fAof Carmel Indiana - 1993" (Z~
289) and amendments, adopted underauthotlty of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Actslm~c!1;;1ory 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
ccupan yhasbeenlssuedb the Department ofComm...uruty tJces, armel,Indlana ~!
' _y)'C.RoI-et.J71r]nt.J/~ / ~1A7
Sig re of Owner or Autlwrized Agen rint Date
Site
**************************
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P,R.I.F.: ! J-. (; /. DO Additional Fees
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Fee Received bvV
OFFICE USE ONLY: ******************************************************
Filing Fees:
Base Inspections:
Cert, of Occupancy:
INSPECTIONS REQUIRED:
Under Slab
# Charged Re'
Reviews
S:Permlts/FormS/ILP RESIDENTIAL
Date