HomeMy WebLinkAbout06040090 Application
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-::City of Carmel/Clay Township
.d.ESIDENTIAL IMPROVEME
For Single Family, Multi-Family, &: Two Family:
NAME
~1LDER of
j{ECORD:
STREET ADDRESS
I~
BUILDER'S EMAIL ADORE
o
PROPERTY
OWNER:
NAME
e \} lr'
~
STREET ADDRESS
LOCATION
&: PROJECT
INFO:
LOT #
'-'4
ADDRESS OF CONSTRumON
SEWER UTILITY
PROVIDER:
WATER lJTIlITY
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NAME OF lJTIUTY EXCAVATION CONTRACTOR; PlAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
lYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
lYPE OF IMPROVEMENT:
(g) NEW STRUCTURE
o ROOM ADDlTION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
Manufactured
Trusses:
./ Y _N
· ~;\10~it"~D
New ~t?u~u~~~~~!, Remode~ ~~~~~l~
PHONE
FAX
\
STATE ZIP
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~
FAX
0<\"\
STATE ZIP
SECTION
SQUARE
FOOTAGE:
loCl.-
cm
CITY
p.
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE)
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'8
.0
n ~ cg ~ 0 ~0' !j.~ ,'i:\\-I
\ I I d
OR: I/'I'i!
PR 1 7 2006 Iii il!
ILil
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Plumber's Indian
PLUMBING CON
License #:
Which plumbing codes will be applied to the constfirc:tlon:--"
,
._i
~ International Residential Code wI Indiana Amendments
o
Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
_YLN
o CRAWLSPACE
Lot Split: _ Y LN Sump Pump: 1 Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y / N
o POST & BEAM
Gl" BASEMENT
WALKOUT:_y.-LN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commencet
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 kirchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
u or occupied I a Certifica.te of Occupa.ncy has been issued by the Department of Community Services, Carmc1, Indiana.
OFFICE USE ONLY: ************************************************************************
IJ Filing Fees: /Ol}-..{J... ~O
INSPECTIONS REQUIRED: U, . ':1'7 'f r-Q
,..----,... { I~ase Inspections: Jh. . ~ .
~g ow r Footm Under Slab ~ ~3 ~O
_ Cert. of Occupancy: ;....l. ~
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P.R.I.F.: -1 lU __
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Print
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Date
# Charged Re-
ReVIews
Additional Fees