HomeMy WebLinkAbout06040058 Application
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~ City of Carmel/Clay Township LV OU' Permit #:
.~. RESIDENTIAL IMPROVEMENT OCATION PERMIT APPLICATION
"0. 00 For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUIL~O
RECO,&,
PHONE
FAX
PROPERTY
OWNER:
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
LOU / S
SECTION
/
ZONING: .::;
SQUARE () I
FOOTAGE: 7'8/<0
C/~(k
ESTIMATED COST OF CONSTRUcnON: .J'" 7
(EXCLUDING LAND VALUE) e:./ 01 ()(;()
me /Q.I( 1'11-
SEWER UTILITY C -
PROVIDER: / a \
NAME OF lfT1lfTY EXCAV TlON CONTRACfOR; PLAN COMMISSION I BZA / BP DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
(j ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR: /
,G /) /f)rchcvn,cc;.
Plumber's Indiana State License #:
fJc: A/C)&; L/ .5LJ()
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
Which plumbing codes will be applied to the construction:
00 International Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
X construction area)
_Y _N Trusses: _Y _N
V 0 CRAWLSPACE
Lot Split: _Y LN Sump Pump: ~Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y
o
~
POST & BEAM
BASEMENT
WALKOUT:_ Y -X--N
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, 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 l.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
used 0 cupied until a Certificate of Occupancy has been issued by th Dcpartm~of Community Scr:iccs, Carmel, Indiana.
" . ::J-,a~ 1-5-tJ(p
Signa re of OWn or A Date
Reviewed/Approved: Dept. of Community
S:F'efmits!FOfms/ILP RESIDENTIAL
*******************************~*'********************
6 (I) Filmg Fees: ~ 7rL' (A.O
~ Base Inspections: -;). 7 7 t _'fD
Cert. of Occupa cy: 6' ~. 5 0
/?v~l, t) 0
TOTAL" ~4(;~ ;).,. ~ 0
~;:?z;,4 ~ I
# Charged Re-
ReViews
Additional Fees