HomeMy WebLinkAbout06020088 Application
City of Carmel/Clay Township i~ Permit#: tJl.to~<Jg/
RESIDENTIAL IMPROVEMENT LOCATION ;~T APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAX
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BUILDER of
RECORD:
PHONE
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CITY
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PROPERTY
OWNER:
STATE
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BEST METHOD OF CONTACT:
3n l-190\-L91L.L
PHONE
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FAX
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CITY
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STATE
ZIP
LOCATION
& PROJECT
INFO:
est- CICl.
SEWER UTIl..TT'h __
PROVIDER: L \ Il \,.l b
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF.-EONSTRUcnON:
@"SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
SECTION
100\'2-
ZONING: p li/.
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(EXClUDING'~OJ'JALUE) L.\ So 00 bi 'I Ii
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PLUMBING CO CTOR:
E-c tJ C UHf,'~
Plum s@:~~~~fRUCT'ON
Subject to c:;mp!l;nCA With ~, ''"'~' d.J.~'
nf 0' t,,~, .,6Il':;
~ic lumbing'-oodei~l(.e.pPn&f~~C9!1~uction:
".1 J'a"'[;.r.;:~ {.,~Je"';tfallcoliewlln(filiP~dments
t; OF (;J),tl~f:"" /,r" "'"'' ""
o Unifonn Plu)llblrig Code wflndiana AliIeR1lliliotllli'
(Multi-Family ConstnJCtiQDII'Q~A
PROJECT INFORMATION:
Early Release / Manufactured ./
Permit: Y N Trusses: _Y ~
~ / 0 CRAWLSPACE 9 ~& BEAM
Lot Split: Y =N Sump Pump: _Y _N 0 SLAB L:::rtlASEMENT ~
Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOUT:_ Y_N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
For Single Family and Two Family dwellings, additions, remodels, and/or acce~ory 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 oE 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 I.e. 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 oc ied until a . cate ccup has been issued by the Department of Community Services, Carmel, Indiana.
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Print ' Date
OFFICE USE ONLY: **************************************** ******'**~****~*****************
Filing Fees: / (I 3 '2 (,'O
INSPECTIONS REQUIRED: Base Inspections: ' ,:;; b 1 <(r) # Charged Re-
Upper Foot. Lower Footi Under Slab ,Reviews
Cert. of Occupancy: S /.') 0
/ :l G I ()()
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ex
"CFinal~
P,R,LF,:
Additional Fees