HomeMy WebLinkAbout06030175 Application
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City of Carmel/Gay Towmhip \}ll, p P"mi,,/JHJ30/75
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAl'-
RECORD:
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
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TYPE OF CONSTRUCTlON:,,":'\ '
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/if SINGLE FAMILY,y
B TOWN HOME>' 1;:,'<>
o TWO FAMILY // "\ "B1
#, of units/ '\,
o MULTl-FAt(uLY ~~
# of Units:.\
o RESIDENTIAl.'(For
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Addltlons;'Remtidels, Etc.)
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PROPERTY
OWNER:
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l:$ONJJ l t 4- fYla.rC
FAX
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LOCATION
& PROJECT
INFO:
SEWER lJTILITY
PROVIDER, C T
NAME OF UTILIT'f EXCAVATION CONTRACTOR, COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTh W L: OR SEPTIC PERMIT #'S (IF APPLICABLE):
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STRUCTURE
ADDITION(S) 9 c
PO ADDITION(S) ~ m , 0
ACC~S~~LRY BUILDlN~ ~~ bing codes will be applied to the construction:
DETACHED GARAGE' ~ -n, @t~ational Residential Code w/lndiana Amendments
~~~C~~?O~ARAGE' :D 8ci ~i~ Plumbing Code w/lndiana Amendments
Z ~ 5: ~ ~~FamiIY Construction Code)
o __r $;c nON TYPE..
:J> (Check all that apply for the new
V Manufactured V;:r. () Zc~ 'on area)
_Y ~N Trusses: \/ Y ~s;: ~ !!t-5~WLSPACE 0 POST & BEAM
Lot Split: _ Y ~N Sump Pump: --1-- Y _N '< en 5.~B ~ BASEMENT
Does any part of the property lie within a special Flood desi~tiBnjB;ria~_y N WALKOUT:_Y N
For Single Family and Two Family dwellings, additions, remodels, and/Or~irY sfilli' res, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must I(n: let~, tificatc of Occupancy issued) within 18 months of the
issuance date, Class 1 structure permits are sub~ect to the General.Ad.minisDat Ru~iJt., e Stat~ of Indiana (See 675 lAC 12) regarding expiration
time frames for begmmng an5ompletmgs~mstructlon.
I, the undersigned, agree that any construction, reconstruction';:enlargcment, re'iocation, or alt~ation of a structure, or any change in the use of land or
structures requested by this application will comply with, and c.onform to, all applicable Jaws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289 and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further ce y t y kitch , ath, and floor Orains-are-ro nected to the sanitary sewer. I further certify that the construction will not be
DC pied n' Cer' icare eu s been issue Department of Community Services, Carmel, Indiana.
A ,'01 g %.1'/1/ . ,3"'2/-CK'
. Date
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Cert, of Occupancy:
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Fees: / Of) ,(, 0
,
;}(,7. ;>D
C;L -;-0
(, ,00
#, Charged Re-
Reviews
Reviewed/Approved: Dept. of Community Services
S;Permits/FormsjILP RESIDENTIAL
(Date)
Additional Fees
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