HomeMy WebLinkAbout06020037-Application
City of Carmel/Clay Township tl17 Permit #: ()&{);)-ltlJJt
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
FAX
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PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
STREET ADDRESS
CITY
STATE
ZIP
SEWER
PROVIDE
CO
NAME OF UTIL VA CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
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o TWO FAMILY v-- :J
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodeis, Etc.)
TYPE OF IMPROVEMENT:
/f"J'NEW STRUCTURE
o ROOM ADDITlON(S)
o PORCH ADDITlON(S) / 0
o REMODEL RE:LE~"-",
o ACCESSORY BUILD~ rV'(!1~I~ing codes will be applied
o DETACHED GARAGE 1ecI, a[i(,{;;.(R~i)1 Co ~its
o ATTACHED GARA'OEP "tO~:;;lCI~';;b\i1!ll~Ol! C~ ;
o DEMOLITlON CI r OF CCt:!Y1!!;f~~~COhsfr9~ri9t1liM ~ ~ I
7Y OF r.tJ " vdViUNrrv s. = ~
Manufactured C:OON'JrA "9~TYP€iR~ S" t at afply for tnr/1ew
Y Q Trusses: 6 _N vconstrp,<tII~fu y rOWNS U II
Y It:) a'\ 0 ~RAWL5~CE 0 llEAM -)
Lot Split: Sump Pump: _Y ~ [2( SLAB 0 =:2:::.-L
Does any part of the property lie within a special Flood designation area: _ Y --.G) WALKOlJT:_ Y ~
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PROJECT INFORMATION:
Early Release
Permit:
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 datc of issuance of the building permit, and must be complcted (Certificate of Occupancy issued) within 18 months of the
issuance datc. Class I structure permits are subject to the General Administrative Rules oEthe 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 Carmd
Indiana - 1993" (Z- 289) and amendments, adopted under authority of LC. 36-7 c( 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
r occupied unri a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana
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,
Date
OFFICE USE ONLY: ************************************************************************
..b~~ll1ng Fees: cPt; ().. k c!)
INSPECTIONS REQUIRED: .,....., ".7 .5 CJ
/.:': , ~ ~ Base Inspections: ~ ',g _' # Charged Re.
,--Upper Fo~!J' Lower Footin< Under SI~ -6 / . ~--rJ ReViews
Cert. of Occupancy: _
~ ~Meter8il~e 0inal ~ P.R.I.F.: /2 Ca. f . () () Additional Fees
TOT~L: #" ')Jd-/-./O, {,tJ
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