HomeMy WebLinkAbout06040004 Application
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BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
o
o
P
City of Carmel/Clay Township \1)(," \~ Permit # OhtJ'!()()O +
RESIDENTIAL IMPROVEME~T LOhTION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PHONE
;::-r6-;?
'i?
FAX
6(6-<93/
30
c
STATE
ZIP
BEST METHOD OF CONTACT:
PHONE
'15 -.235c)
FAX
ZIP
SQUARE i
FOOTAGE: 515;)
7,;)
''fftJ/.oOLjoOb
STRUCTURE
M ADDITION(S)
PO H ADDITION(S)
MODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARr
DEMOLITION
Plumber's Indiana State License #:
r2.P /CJoO{J / L> I
Which plumbing codes will be applied to the construction:
~"t'::'I,ational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
lie Manufactured ~ FOUNDATION TYPE: (Check all that apply for the new
construction area) ~
~Y .' Trusses: 'Y""
Lot Split: _Y ~ Sump Pump: Y N 0 CRA'!!.OLSP~RU IQOST&BEA ~
---t.:/ SE(}f~alL' Nt:> I MENT
Does any part of the property lie within a special Flood n w~ance WIth ,WALKOUT: Y f'J-
For Single Family and Two Family dwellings, additions, remodels, and/or aCcQl~lY~WIn~mr8t!R~~ if construction commences
within 180 days of the date of issuance of the building permit, and R.1!:!~cefi>Ie.gt'lU~Hi\ te 0 Cf~~within 18 months of the
issuance date. Class I structure permits are subject to the General Adrf1h1lsiapv~_ M{!~ ~Qb:.A ndim1<l(S'ee~751AC 12) regarding expiration
time frames for begi~n\U:lOn'ttifalii\g.GPltiff)4.q\\~.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, 01 aldJIihlMOn. 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 LC. 36~7 er seq, General Assembly of the State of Indiana, and aU Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be
u r occupied until a Certificate of Occupancy has been issue he Department of Community Services, Carmel, Indiana.
,~/30/0~
Sig ture of Owner or Authorized Agent Date
OFFICEUSEONLY:**********************************************~~*******************
Filing Fees: ~ l ,,,,z 0
-- ,ECTI IRED: d ./1 7 -- 0
Base Inspections: - / . :)
Cert, of Occupancy: 53 - ) ()
# Charged Re-
ReViews
P,R.LF.: J,) (; I 00 - Additional Fees
~;~i )~ai:!!(020
Fee ReceIVed bv:
Review djApproved: Dept. of Community Services (Date)
S;PermitsjFormsjILP RESIDENTIAL