HomeMy WebLinkAbout06060072 Application
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City of Carmel! Clay Township l)/ ~ Permit #: OC:, Ofoco l) d-.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
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BUILDER of
RECORD:
NAME
STREET ADDRESS
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CITY
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STATE
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ZIP
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PROPERTY
OWNER:
BUILDE~'S EMAIL ADDRESS
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NAME
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STREET ADDRESS ~
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BEST METH.OD OF CONTACT:
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PHONE
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FAX
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STATE ZIP
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TYPE F N
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# of
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# of Uni
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Additions, Re
CITY
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LOCATION
lk PROJECT
INFO:
LOT #
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SEmON
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SQUARE 4
FOOTAGE:
ESTIMAT"D COST OF CONSTRumON: \ I -S ..
(EXCLUDING LAND VALUE) _ 19~O~
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RUCTURE
RO ADDITION(S)
RCH ADDITION(S)
REMODEL
ACCESSORY~LDING Which plumbing codes will be lo the construction:
DETACHED G ~ ~temational Residential Code w/lndiana Amendments
~~~CL~~~8N Of l S!i~ Unifonm Plumbing Code wI Indiana Amendments
cOCo OlilitJIti-Famlly Construction Code)
PROJECT INFORMATION: 'l:p.,. Of Sfot rr-,Plt.,=",-C~
Early Release / Manufactured C/7)., Of::' Of::' C~e Ii~ . ~~: (Check all that apply for the new
Permit: _y V_N Trusses: Ly -Q/J,Ait.'$~/lJ~O~ POST & BEAM
Lot Split: _y LN Sump Pump: L y _N I. 't2t. 4:~~~~&;.) Ol)~ BASEMENT
Does any part of the property lie within a special Flood deSign~ .: ~ 11.;. WALKOur:_ y LN
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For Single Family and Two Family dwellings, additions, remodels. and/or accessory structures, this p 1JS 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 \vill 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 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
d or upied u . _a care of Occupancy has been Issued by the Department of CommunIty ServIces, Carmel, IndIana.
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EUSEONLY:*********************************************tj*************************
{; filing Fees: '8 :t,J /0
PE~IRED: rf\" '"'7 7
. ~. . l13ase Inspections: ^ I'J. 60
ng er Footi 9 Under Slab ...-.? ~--n
Cert. of Occupancy: ~.:> . v C/
P.R.I.F.: /--.:z..u/ ' OD
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# Charged Re.
Reviews
Reviewed/Approved: Dept. of Community Services
S:PermltsfFormsfILP RESIDENTIAL
Additional Fees
(Date)