HomeMy WebLinkAbout06030225 Application
City of Carmel/Clay Township ~ Permit #O"IJ .'?D;;gZr::::-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, S. Two Family: New Structures, Additions, Remodels, S. Accessory Structures
BUILDER of
RECORD:
NAME 31(- 8ttb-731/
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STREET ADDRESS
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FAX
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CITY
STATE
ZIP
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
e.
STREET ADDRESS
LOCATION
s. PROJECT
INFO:
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LOT # SUBDIVISION NAME
"ill
ADDRESS OF CONSTRUCTION
e~" Co\
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SEWER UTILITY WATER UTILITY
PROVIDER: c: -r: PROVIDER: \ ,\
NAME OF lJTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): '
TYPE OF CONSTRUcnON:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
I5!l NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
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PHONE
FAX
CITY
STATE
ZIP
SECTION
ZONING:
pl{ .
e:
SQUARE
FOOTAGE:
tI1
,
ESTIMATED CO F CONSTRumON: " -----1
(EXCLUOING ~: b-VALV~ t:C:' -:,~-;-;;-:C"--;,~_,_ ~0.
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Plumber's India
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Which plumbing codes will be applied to the construction:
~ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
_Y ~N Trusses: ~Y N
o CRAWLSPACE
lot Split: _ Y ~N Sump Pump: ..x.. Y N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y X-N
o
ji()
POST & BEAM
BASEMENT
WALKOlfT:_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, rdocation, 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.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
u' or occupied il a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
A.ol.. m
Print '
ommunity Services (Date)
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Date
r d Re-
_Reviews
Additional Fees