HomeMy WebLinkAbout06050090 Application
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City of Carmel/Clay Township AoJ) Permit #-r:bIJ51J(J 90
RESIDENTIAL IMPROVEMENT LOCA~bN PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
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FAX "J C'
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PROPERTY
OWNER:
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CITY
Cf/-;-5t'ht?
STATE
ZIP
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NAME
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
7
SECTION 2-
(/,
TYPE OF CONSTRUCTION:
c:D/SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
ESTIMATED COST OF CONSTRUcnON:
(EXCLUOING LAND VALUE) ,.2 va c/o u, ~
::::tI=:-OGQSCJO
T ,/YI v "A; :-<!JrC::O'_~C;":',, _
!jl..JI f
NG CONTRAcrO~:!~'1 !
, l '1,1" MAY
v-- /A...1 Ii! - Q rl c j,
Plum er's Indiana State license #: -00 i
/ I L,_ iL'
f u /777 L_ ------.J~ j
Which plumbing codes will be applied -iOtli'emnstA&Ctiom. ji
~Intemational Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
SEWER UTILITY
PROVIDER:
NAME OF UTIUTY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(s); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
PROJECT INFORMATION:
E I R I Manufactured FOUNDATION TYPE:
ar y e ease r./ '
Permit: _Y _N Trusses: .../y _N const"ct,on area)
. ..,.....;: / cl'l" CRAWLSPACE
Lot Split: _ Y _N Sump Pump: V Y _~ 0 SLAB
Does any part of the property lie within a SP~~d deslf,;;;'tion area: _ Y ~
(Check all that apply for the new
7JJrJ.- Pf'er'41IS
o POST & BEAM
W BASEMENT
WALKOLrr:_ Y '--""'"N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO 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 I.e. 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 are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Print
F7-~
Date
OFFICEUSEONLY.************************************************************************
. FIling Fees: 7 ,)',;L. c;;2 0
INSPECTIONS REQU:ml~ASED FOR C~Npl~~~WQ:N ;:;J ? 7. ,,--0
CiJPPer Footing~er Footjn~~~,,~pll8nce WlrIl an il€;gulaDons ~ ./'
~ ~ "~~c<OOttCofjtll;(upan(y: 0 3, ~ 0
ough In "t<.. Ba I!Jl1iPT OSitilOM I. ~IJY J',ERVICES
IT',' Or EL (CLAY TOWNSHIP
INDIANW; AL:
# Charged Re-
ReVIews
unity Services (Date)
Additional Fees
Fee Received by: