HomeMy WebLinkAbout06050003 Application
City of Carmel/Clay Township. . jq j). Permit #:Q/a05 ODD?:>
RESIDENTIAL IMPROVEMENT LOCA1\ON PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
A Manufactured 4 FOUNDATION TYPE:
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Trusses: _ Y _ ./'
~ ~CRAWLSPACE CJ
Lot Split: Y L-N Sump Pump: _ Y --..LN CJ SLAB CJ
Does any part of the property lie within a special Flood designation area:
BUILDER of
RECORD:
NAME
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PROPERTY
OWNER:
NAME <
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50/1 tv /~UIV
LOCATION
&.PROJECT
INFO:
ADDRESS OF CONSTRUCTION
CJ
W ST CTURE
RO ADDITION(S)
CH ADDITION(S)
REMODEL ',,-
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
CJ
PROJECT INFORMATION:
Early Release
Permit:
FAX
:I
ZIP
i-'6J-t D
"'t..-
SECTION
1../0
STATE
.rJ
Zto33
ESTIMATED COST OF CONSTRumON: '"
(EXCLUDING LAND VALUE) /. '-' O.J ~
PLUMBING CONTRACTOR:
12. (/. f/(.}~{;,tm
Plumber's Indiana State License #:
?c l3Io~/I/.5
Which'PIUmbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
Y -.LN
POST & BEAM
BASEMENT
WALKOUT:
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 \",ill comply \vith, 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 A.ssembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor d nnec e . nitary sewer. I further certify that the construction will not be
used or occupied mil a Certificat ccupanc cen issued by the Department Community Services, Carmel, Indiana.
~t/If ' .v 5'"----/-o,b
Date
**~~~*. ********** ********~**~********************
1;- Filing Fees: /:3 3 _ sO
INSPECTIONS REQUIRED: JRUCTION / // CO
&per FootinULower Footing Under9lllJ\llct to compliance with all" regulations . .r-'3- . /TO
. ojSt&!lrartf~f@llaet. 0 ~ v'
~9h I~ Meter Base ~ ') l!iI!PT OF GqN.~~NITY SERVICES
.., CITYOFCARMEL/CLAYT
INDIAN T
,
mmunity Services (Date)
Fee Received by:
# Charged Re-
Reviews
Additional Fees
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