HomeMy WebLinkAbout07030022 Application
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
./ For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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BUILDER of
RECORD:
BUILDER'S EMAlL ADDRESS
PROPERTY
OWNER:
NAME
t=
STREET ADDRESS
LOCATION
& PROJECT
INFO:
SEWER UTIUTY
PROVlOER:
CITY
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PHONE
BEST METHOD OF CONTACT: ,. ,~,"")l \C-i10~
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Subiect 0 , \ ..r"! :~ode5
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..,.cOT OF CrsJ-id'E'v\ur.ll I ~ziPO' WNSHIP
v<'o' EL I GLA Y I
INDI ~
CITY
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET II /
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): -
TYPE OF IMPROVEMENT:
IifI NEW STRUCTURE
6 ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
::~::~~::ORMATIO: ManUfacture~j \I
Permit: Y...fi..N Trusses: Y ~N
- 'I. ,J, . A:"'" ~ CRAWLSPACE
Lot Split: _Y _N Sump Pump' -!LY ~ 0 SLAB
Does any part of the property lie within a spe ial Flood designation area: _Y X-N
TYPE OF CONSTRUCTION:
iXJ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PLUMBING CONTRACTOR.;
HAYnM...J- ~r")~J~..IAk:,'
Plumber's Indiana state, License #:
~ D odl8,~~R - 2 2007
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Which plumbing codes will be applied to the construction:__J ....-../
I
,~International Residential Code wI Indiana Amendments:
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o Unifonn Plumbing Code w/Indiana Amen'ciments----'
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM
o BASEMENT
WALKOUT:_ y..K..-N
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 18 months of the
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.
t, 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 col}form to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z,289) and amendments"adopted under authOrity oB.e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I funher cerqfy that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used cupie u . lea (' of Occupancy has been issued.bx h~ Department of Community Services, Carmel, Indiana.
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OFFICE USE ONLY: *************************************************
----- Filing Fees: ,-
INSPECTIONS REQUIRED:
# Charged Re-
Reviews
Base Inspections:
Cert. of Occupancy: . ~3 ,S ()
P.R.I.F.: / r;X 61. 00, Additional Fees
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Fee Received by: '---_
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