HomeMy WebLinkAbout06030176 Application
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City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LO
For Single Family, Multi-Family, &. Two Family:
Permit #Q/n03 0 I '(to
ION PERMIT APPLICATION
s, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
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BUILDER'S EMAIL ADDRESS
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PROPERTY
OWNER:
NAME
LOCATION
&. PROJECT
INFO:
STREET ADDRESS
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S~ME
ADDRESS OF CONSTRUCTION
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER:
NAME OF LfTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA X
NUMBERS; TAC DATE{S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT
CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc)
TYPE OF IMPROVEM
o NEW STRUcrURE
~OOM ADDITION(S)
o PORCH ADDITION(S)
REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PHONE
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FAX
STATE
J. ZIP
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BEST METHOO OF CONTACT:
FAX
STATE
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ZONING:
S-I,
SQUARE
FOOTAGE: \\001\
CONSTRUCTION:
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PLUMBING CONTRACTOR:
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Plumber's Indiana State License #:
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Which plumbing codes will be applied to the construction:
o )nternational Residential Code wI Indiana Amendments
gjf Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release / Manufactured /
Permit: _ Y LN Trusses: Y / N
/y -_N 0 CRAWLSPACE
Lot Split: _ Y 1N Sump Pump: ./ ' 0 SLAB /
Does any part of the property lie within a special Flood designation area: _Y LN
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o flOST & BEAM
~ BASEMENT I
WALKOlJT:_Y~N
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 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 of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, rdocarion, 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
In "ana - 199r (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
th eta. 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
us or occupied until a Cer . . ate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Signature Print Date
OFFICE US 0 . ********eONDITmN~C****************:;'*?**************
INSPECTIONS REQUIRED: (~:ZR.
Base Inspections: /0 '7 00
Upper Footing Lower Footing Under Slab ' S/ ~ ()
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Rough In Meter Base Fmal "b'S, If~ t ornp"""'''''''Jith all reguiations
'_ __ U Jee Of' """:1.~;.
"< of "State and ~cca\ Codes.
l[;)/i:PT OF CGrlltMUNITY SEfnlJUSc
" 'RMELI CLAY..lO S
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Reviewed! A
S:Permits/FOrffis
# Charged Re-
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