HomeMy WebLinkAbout07070060 Application
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. City of Carmel! Clay Township Permit #:_0707 DDltiJ
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
I
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILIn'
PROVIDER:
STRE
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E:
FAX:
BUILDER'S EMAIl ADDRESS:
NAME: ~, 7
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STREET ADDRESS:
.7b7i tJ.
lOT #:
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTION;
5"41 .e.
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WATER lJT1LfTY /l I
PROVIDER: L- A--- ~
CITY: /j'-'~'--..'STATE: ZIP:
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BEST METI;fOD'~F (::ONTACT:_,~"I";">'
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PHONE: C7 t.I"Z/ICA/{JJ FAX".!?(>,>>,I
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SECTIO~ '''-~~~
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SQiJ!'RE c74/
FOOTA : l> t fo
ESTlMATED COST OF CONSTRUCTION: h-tJ
(EXCLUDING LAND VALUE) J ~ (l0i)
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S) J/
FOR THIS PROPERTY: "AI t>
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
i time:
RESIDENTIAL (For
Additions, Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
_Y~
_y-.LN
For Single Family and Two Family dwellings, additions, remodels, andJoraccessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building pennit, 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 for beginning and
completing construction. I!~~
I, the undersigned, agree that any construction, reconstruction, enla~g~!Il~ll!,Jelocation, or altera~' , I\\~. ,n ,. ", .~...la. d' , structure,'
requested by this application will comply with, and conlonn.to;allapplicable l~f e State of di a . . ap i' XM In lana -1993~(Z~
289) and amendments, adopted under authority gf.I,C~36~7 et seq, General Assembly 0 he State .. ia.; n a cts amendatory thereto. I further certify that only
kItchen, bath, and floor drams are connect;j toihe sanitary sewer I furthe~tlfy t t the constructIon will not be used or occupied until a Certificate of
Occupanc h"be,",,,",dbyth,O, ""tmentofCo "rntysV.~'f'5C:::a A ~ ~~f5'~7
erlnt Date . /
/
-- / .~
** * ******* **** ***'****** * * *.~** **** ***************i g**.**,'t3-!lt: ********* ******
INSPECTIONS REQUIRED' Filing Fees: . J9. .)
tfI. 'Base Inspections: /I);z.. rf()
-'::'pper Foot~ Lower Footing Under Slab S6. DO
~ V Cert. of Occupancy:
~li9h I0-M~ter Base nal Site
~ _ _ P.R.I.F.:
Lot Split:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o OECK ADDITION(S)
o REMOOEL
_ Basement Finish only
o ACCESSORY BUILOING
y{ DETACHED GARAGE
o ATTACHED GARAGE
o OEMOUTION
Manufactured
Trusses:
Sump Pump:
Y /N
Y /N
~
c..(a...~
Reviewedj App
S:Permits/Form5/ILP RESIDENTIAL
7-Ji-
mmunity Services (Date)
Fee RecefV'eWo:v:
PLUMBING ~NTRACTOR:
70",,- ;V~.,'"
IPlumliersIn~lana'State;Ui:ense.#: !,
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.
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Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments I
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o POST &
BEAM _PIER
~ SLAB 0 BASEMENT (WALKOUT:_Y_N )
# Charged Re-
Revjews
Additional Fees
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Date