HomeMy WebLinkAbout07010174 Application
City ofCarmel/C/ay Township Permit #:07 ()/ D\ 1 ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
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PROPERTY
OWNER:
NAME
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PHONE
FAX
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ZIP
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~ SUCTION
LOCATION
&. PROJECT
INFO:
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SEWER lJTIUTY
PROVIDER:
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NAME OF UTIlITY EXCAVATION CONTRACTOR; LAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
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TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S) .~
J?)' REMODEL- F,re.. /ifY
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
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PLUMBING CON~CTOR:
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Plumber's Indiana State License #:
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Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
/ ~~i\~ '[;Jt. f1;;;-~;;~ n ~').,rFOtJNDATION TYPE: (Check aU that apply for the new
~pEarlY .Rt elease _Y ~ TManit.~~ ....!:!'~1"td~1JI ~ fu if'N~~ ,'i K,'~ccinstfJ!g:ion area)
erml : rus~ : - "f(J f ...;.'.. -'" .,11:--.
~ VI - 0 CRAWLSPACE
Lot Split: _ Y _N Sump Pump: rv-Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y j{LN
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
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POST & BEAM
BASEMENT
WALKOlJT:_ Y XN
For Single Family and Two Family dwellings, additions. remodels. and/or 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 IS months of the
issuance date. Class I structure permits arc subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construnion.
It 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 \vill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (2- 289) and amendments, adopted under authority of I.C. 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 DC ied until a Certjficate o[~ccupancyhas been issued by the ~artment of Community Services, Carmel, Indiana.
/-.0 AJAU6 r/J.~/o7
Print Date
OFFICE USE ONLY: ******* *** ********* ** * ****.~********** *** ****~~* *T"D*****************
Filing Fees: /51 2. '
INSPECTIONS REQUIRED: J'j/. /10
Base Inspections: --'- C/
Upper Footing Lower Footing Under Slab . c---
Y Cert. of Occupancy: , )J- S-O
~ Meter Base"'~---;inal Site -
~ '---_. P,R.I.F.:
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# Charged Re-
Reviews
(Date)
Additional Fees