HomeMy WebLinkAbout06050113 Application
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City of Carmel/Clay Township \0 \o.~ permit#()h05n/J3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
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SEWER lJTIUTY
PROVIDER:
WATER UTILITY /'
PROVIDER: C c<
PHONE
FAX
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STATE
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ZIP
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BEST METHOD OF CONTACT:
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FAX
CITY
ZIP
STATE
ZONING:
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NAME OF UTILITY EXCAVATION CONT
NUMBERS; TAC DATE(S); AND/OR
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LAN COMMISSION / BZA / ilIl~ ('Jl. RM EL L
NO/OR SEPTIC PERMIT ~t~:: ....P~tAert!)~ -
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F IMPROVEMENT:
W STRUcrURE
RO M ADDITION(S)
RCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
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Manufactured'-/ FOUNDATION TYPE: (Check all that apply for the new
_Y _N Trusses: ~ _N rl{construction area)
_ /.. / -'\'l.J ",O/CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y ~N Sump Pump: .y- Y _N OQ!.~II' [Jil' SLAB ../ 51 BASEMENT ../
Does any part of the property lie within a special Flood designa'lln area: _ Y _N WALKOUT:_ Y_N
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 structurc pcrmits arc 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, cnlargemcnt, relocation, or altcration 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 kitchen, bath, and float drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a nincate of Occupancy has been Issued by the Department of CommunIty ServIces, Carmel, Indiana
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'PHnt Date
OFFICEUSEONLY:**********************************************"J************************
Filing Fees: 9$', ~
INSPECTI EQUIRED: '
~ Base Inspections: _'7 '7 7- ~ 0 # Charged Re-
C U~ting;> ower Footi Under Slab Reviews
- ____ ~ Cert.ofOccupancy: <::~ .rO
~ -<!"eter Base__<J Final Site ~ P.R.I.F.: / ;( b! fJO Additional Fees
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Reviewed/Approved: Dept. of Community Services (Date) . /. . ~ ~
S:PermitsjForms/ILP RESIDENTIAL Fee Rec by: