HomeMy WebLinkAbout06040081 Application
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City of Carmel/Clay Township j / )f) Permit #000'-1008/
RESIDENTIAL IMPROVEMENT LocMION -PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
-' # of Units:
l\O RESIDENTIAL (For
~dditions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release ~ Manufactured /'
Permit: Y N Trusses: Vv N
------ I .. /'" - j 0 CRAWLSP CE
Lot Split: _ _Y ~ ~ppump: ~Y ~N 0 SLAB '7
Does any part of the proi>e~thin a special Flood designation area: _ '
For Single Family and Two Family dwellings. a~ditio:h.s. 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 wiU comply \'.ith, and coonfarm t'o, aU applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993~ (Z~289) and amendm s, adopted un orit);']Lts::: 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I furt ertify that only . c en, bath, floor dqlins . connected to the sanitary sewer. I further certify that the construction will not be ,'."
used or oc . d until a Certifie e. fGee aneyhas been issu~ _ b the Departme t f Community Services~armel, Indiana. LJ _ / b - at:,
, t:--'
ubje compliance with all re ulations Date
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D T OF~6)M'~hIlTY SERVICES !~d6 - 0-
OF C~~~de~W TOWNSHIP / ({ <'0 # Charged Re-
INRllANA I ~O ReViews
cert..oF .acfupancy: , <:) J. J
tJ<.,.-u Additional Fees
BUILDER of
RECORD:
NAME
()
~
Wt!.5i-IAJOOC
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
LOT #
14tt
ADDRESS OF CONSTRUcnON
SEWER UTILITY
PROVIDER:
1j;.j.ve-.:re-
NAME OF UTILITY EXCAVATION CONTRACTO ; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S}; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
r1ff ACCESSORY BUILDING
o DETACHED GARAGE
o AlTACHED GARAGE
o DEMOllTION
INSPECTIONS
~p... FOofu;)
CROugh 1;> Meter Base
Reviewed/Approve
S:PermitsjForms!ILP RESI
(Date)
PHONE
~ C-f - I'fCf <K
CCl.r I'\~\
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FAX
It:, 001
ZIP
-'"'I--k:,D'33
"
7'7 (p ;?J..3. 0
(.. Ot) 7
ZIP
I,..(bo~~
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F9~
cm
Cl-.
STATE
BEST METHOD OF CONTACT:
"i?' h oN .
FAX-
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ESTIMATED COST OF CONSTRUcrr~: 3 0 ~ / <!l 0
(EXCLUDING LAND VALUE) .:JI 1::> ~ ..... -
PLUMBING CON
Which plumbing codes ill be applied to the construction:
o International Residential Code wI Indiana Amendments
, 0 Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
~ST & BEAM
o BASEMENT /"
WALKOUT:_ Y ~N .