HomeMy WebLinkAbout07080065 Application
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City of Carmel/Clay Township Permit #:07()<6~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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FAX:
BUILDER
OF
RECORD:
NAME:
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PHONE:
FAX:
PROPERTY
OWNER:
NAME:
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PHONE:
BEST METHOD OF CQNTAa:
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STREET ADDRESS:
CITY:
STATE:
ZIP:
SEWER lfTIUTY
PROVIDER:
lOT #: 7 SUBDMSION NAM~
ADDRES~F CON~UCT10N: .
WATER LfTIUTY
PROVIDER:
ZONING:
/
LOCATION
&. PROJECT
INFO:
SQUARE
FOOTAGE:
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NAME OF lJT1LITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (IF APPUCABLE):
Fig~~~~~~~~~.;;,~SIGNATlON(S) , # A/jr; A 9 o',,'1<'e
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: "'l ~ ~ @
O--sINGLE FAMILY ~EW STRUCTURE ~ ; j( 1'0' ~ 2'6'.tz, ""/4-
o TOWN HOME 0 ROOM AOOITION(S) Plu er's'lndlana State License #: ~$ 0' "ft. "b
o TWO FAMILY 0 PORCH ADDmON(S) G ,\7' 0' 7
# of units being 0 DECK ADDmON(S) (1 ;:, Y - (J I? /1)./ q."
constructed at this 0 REMODEL
tj'me'. 0", F' I h I Which plumbing codes will be applied to the construction:
n,.;;;1 r::A~asement inS ony _______
o RES~~ENTlAL (For ~uoj"'D"l\'€065~IJUJl.P~!!G Ld-1:'ntemational Residential Code wi Indiana Amendments
AddItIons. Remodels. Etc.) " ~ tD~!;tlfP3;MbIltIESi""UO"'lfUlI 'f b' d II d' d ts
00 ~R'~~~" , ~m ann Plum Ing Co e w n lana Amen men
aSp ~.tOlfftt\LIi all ferN/Oil Juc.
PROJECT INFORMATION:C1h; 1RDfl't!OMM 06af Cadge. C, IiOUNDATION TYPE: (Check all that apply for the new
E I R I I,r:"""'~'~i' /jJiNI""'~" ' construction area)
ar V e ease ' , M'ifh~~fV'cu:i ". f r r'lVl0JtiJ4f ~
Permit: _ Y _N Trusses:' -, / 01 )'\\ ' ''N' ,r:.i':j ~ CRAWLSPACE 0 POST & BEAM PIER
Lot Split: _Y_N sumpPumItJDl~_N SHIP (Q--slAB ~MENT(WALKOUT:_Y ~
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 pennit, and must be completed (Certificate of Occupancy issued) within IS 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.
I, 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 conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana -1993~ (Z;
289) and amendments, adopted under authority of l.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 occupied until a Certificate of
Occupancyhas been issued y the Department of Community SeIVl~ces, d, Indiana, __
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Signa of Owner or Authorized gent '. rlnt Date
OFFICEUSEONLY:*******************************************************&************************
F'I' F Q 1(;
INSPE ~EQUIRED: ling ees: C' -
, ~ Base Inspections: r.;:2 ~'1. 50
Upper Footing Lower Footing Under Slab ____ -/)
~ Cert.ofOccupancy: 5 J ,Su
, ) P,R.I.F.: /cZ (,/ tJ tJ
(7~V~~~/.70
Fee Received by:
# Charged Re-
ReViews
Additional Fees
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Reviewed/Approved: Dept. .of Community Services
(Date)
S:Permitsfforms/ILP RESIDENTIAL
Date