HomeMy WebLinkAbout06050134 Application
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City of Carmel/Clay Township ~ Permit#: CM06()/3Y
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME
RECORD:
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STREET ADDRESS
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STATE
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ZIP
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BUILDER'S EMAIL ADDRESS
BEST METHOO OF CONTACT:
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PROPERTY
OWNER:
NAME
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STREET ADDRESS
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FAX
CITY
STATE
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ZIP
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ZONING: 'f<., ~
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SQUARE \' Qf'\ \
FOOTAGE: OV
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SUBDMSION NAME
Sot
LOCATION
&. PROJECT
INFO:
LOT #
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SECTION
3
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM ADDmON(S)
o TWO FAMILY tii'l' PORCH ADDmON(S)
# of units: 0 REMODEL
o MULTI-FAMILY ~ ACCESSORY BUILDING
/ # of Units: 0 DETACHED GARAGE
~ RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOUTION 0 Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATIOI1: / ~
Early ,Release ~ .::,?nufactured V ~UN~~~": TYPE: (Check all that apply for the new
PermIt: Y ~Trusses: Y ~ ) j )
, - - - - 0 CRAWLSPACE ~ POST & BEAM (~\U
LotSpht: _Y _ Sump Pump: _Y - 0 SLAB /, 0 BASEMENT J
Does any part of the property lie within a special Flood designation area: _ Y _N WALKOUT:_ Y_N
EST1MATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ~ \ '6 'g\)
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NAME OF UTILITY" VAll CONTRACTOR; PLAN COMMISSION / B / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUtffi' WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
w/lndiana Amendments
For Single Family and Two Family dwellings, additions, remodels, andlor 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 (Cenificate of Occupancy issued) within 18 months of the
issuance date~ J::lass 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.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 floor drains are connected to the sanitary sewer. I funher cenify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
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Signature 0 er or Authorized Agent Print Date
OFFICEUSEONLY:************************************************************************
Filing Fees:. /:;5. /0
IN~PEcnONS RE~UIRED: RELEASED!t'i~Fj~&Ts':~UCTION /' t: r:;" -;'0 # Charged Re-
Gper F~ Lower Footing Unde6li"'l!ct tD cOl):)pliance with all repulailonsl . c;- /2) ReViews
~ ~ ~ of Sta~!t-,etgES\l~~ :3 c)
. ough In Meter Base ~. ~~T or' QQM~,l;JNITY SERVICES
CITY OF CI\RMEL / CLAY TOWNSHIP
IN ANA TO ~
Additional Fees
Reviewedl p", ed: Dept. of Community SelVices
S:PermIts/F SIDENTIAL