HomeMy WebLinkAbout06040087 Application
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Ctty of Carmel/Clay Townshtp ~- Permit #:--.J/UI. '1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
SEWER UTILITY /l i
PROVIDER: Clt:/.
NAME OF lJTIlITY EX ATION CONTRACTOR; PLAN COMMISSION / BZA I PW DOCKET
NUMBERS; TAC DATE(S ; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
Manufactured
Trusses: lY _N
o CRAWLSPACE 0
Y -XN Sump Pump: 1-.Y _N 0 SLAB ~
roperty lie within a special Flood designation area: Y 'If N ---
------- - ~-~
For Sing~e F ily anrtbo jlIA~ellings, additions, remodels. and/or accessoryTs\trUc. ' i~(W;~~it14skud only if co.nstruction commences
within f tlo~a~s~~~~~ building permit, and must be complct,cd (~ertiftcate of Occupancy issued) within 18 months of the
issuance a ~=fdl4J!G l!~bs ~~~' ct .to the General.Ad.minisrrative R~.l:~,." be he Stat~ of Indiana (Se~ 67.5 'IAeI2,? regarding expiration
. ()~ I a f'JCj 61 */ ~am~s for begmmng and co~ple~lpg'ff ~tru~~. 1 1 ttmQ \ \ t .; . t
I, the underslgne~l a~l;1ii~~~~lrf?~n, ~~J1...:. enlargement, relocatIOn, orjalter non ~ft:ruhute, or any changt; m~e use of land or
structures requested by~tilf9"~~~M~ t~ Y~",~~A-~rm to, all applicable la~y~ df\t~e State of Indiana, and t~.~rhing rdinance of Carmel
Indiana -1993~ (Z~289) an~~~ ;'i:! ~er! i~ of r.c. 36-7 et seq, Gen<;rirl ~'hlr -~ ~L__ 3~d~t; or Indiana, and all cts amendatory
thereto. 1 further certify th' ~~~ at, oar drai re connected to the sanitkry sewer. I further certify that the ~?~:;: ction will not be
used cupieduntilaCertjl~O u~ nissuedbythcD partment Commun" ., ;1ndiari:i:.
. S /In' ~/11 4-S-0i..LJ
Date
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
LOCATION
&. PROJECT
INFO:
lOT #
/1
TYPE OF CONSTRUCTION:
ex SINGLE FAMILY
b TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_Y_N
Lot Split:
Does any pa
FAX
S8.J- cN:5
STATE
"/N
. JJ?1-
PHONE
FAX
CITY
STATE
ZIP
SEmON I
ZONING: .5 _
SQUARE - a ~
FOOTAGE: .5 J / tX......
;;-}-
c~
ESTIMATED COST Of CONSTRumON: J
(EXCLUDlNG lAND VALUE) at,
rr7 ~ 121<- ,"-;;-
/ca. J
Which plumbing codes will be applied to the construction:
L:f 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)
POST & BEAM
BASEMENT
WALKOUT:
Y ---'L-N
# Charged Re-
Reviews
Additional Fees