HomeMy WebLinkAbout07080009 Application
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City of Carmel/Clay Township Permit #: Q 703p~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICArrION
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For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
~
STREET ADDRESS
N300 {.I A
BUILDER'S EMAll ADDRESS
PHONE
FAX ,
5"6Z. - 2 " 53'
'1- ~5 I Z.
cm
r t (ftA (.{ B hi!.. Ylt GaJ
STATE
~~ -r: IN
ZIP
~603Z
PROPERTY
OWNER:
NAME
t S"'Il.,~!.c.
,,)er
:1' \1 i'___.,
BEST METHOD OF-CONTACT:
i i L/j I 6(,,9 - fJ fi 10
PH~~ JII \\1 F~W
STREET ADDRESS
LOCATION
& PROJECT
INFO:
LOT #
cm
1r-1
ZIP
5~
SUBDIVISION NAME
OIUl,.lO ,~
ADDRESS OF CONSTRUCTION
G'3
SEWER UTlLm I
PROVIDER: (. AR.("{I f.-
('f.e-s Ce.,J r
C A/Un t"/
510 z..
NAME OF lJTIUTY EXCAVATION CONTRACTOR; PlAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABL
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
L.s.
TYPE OF IMPROVEMENT:
~
o
o
o
o
o
o
o
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Which plumbing codes will be applied to the construction:
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~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments !
(Multi-Family Construction Code)
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(Check all that apply for the new
Manufactured FOUNDATION TYPE:
oJ X N construction area)
_Y ~N Trusses: _Y _
oJ" 0 CRAWLSPACE
lot Split: _ Y --:a-N Sump Pump: ~ Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y XN
~arly Release
Permit:
o
@
POST & BEAM
BASEMENT
WALKOUT:_Y~N
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction com~ences
within 180 days ofthe date of issuance of the building permit. and must be completed (Certificate of Occupancy issued) within 18 months ~fthe
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 consrrucrion, reconstruction, enlargeffienr, relocation, or alteration of a structure, or any change in the use of land Of
strucrures requested by this application \o\il1 comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (2- 289) an mendmems, adopted under authority of I.c. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further t", at only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occup Certificate of Occupancy has been issued by the Z'l~n;C01::;;;ices. Carmel. Indiana. 7/:V h 7
Signature Print Da~ /
OFFICEUSEONLY:**************************~********************~*~~* *~***********~*****
FIling Fees: '-/ /'~rd() I
INSPECTIONS REQUIRED: / '...!. 2 -/ '
. Base Inspections: c.:) () <) tJ # Cha~ged Re-
Under Slab Reviews
Cert. of Occupancy: . S"S', ':;0
P.R.LF.: / ~ (,/ ()O ./ Additional Fees
~~~~0(f,;20
Fee Received by: ;'
ReViewed/Approved: Dept. of Community Services
S:PermitsfForms/IlP RESIDENTIAL
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(Date)