HomeMy WebLinkAbout06060054 Application
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City of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME
RECORD:
PHONE s,S-ooLtS FAX
(~iI n
CIlY STATE ZIP
~
BEST METHOD OF CONTACT:
FAX
))J --001....\ S
CIlY STATE ZIP
Qrom- 4~
SEOlON ZONING:
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PROPERTY
OWNER:
:L-
LOCATION
& PROJECT
INFO:
SQUARE_ )r7
FOOTAGb"" ./1.
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
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SEWER UTIlITY
PROVIDER:
o
o
o International Residential Code w/Indi
Amendments
de wi Indiana Amendments
(Multi-Family Construction Co e
P
RMA :
v: Manufactured ~--r)./ FOUNDATION TYPE:
~ orr-t VI\' construction area)
_Y _N russes: _Y -=-N/
......<. ~RAWL5PACE
Lot Split: _Y Sump Pump: _Y _N 0 SIJ\B
Does any part of the property lie within a special Flood designation area: _ Y v1Ii
(Check all that apply for the new
Early Release
Permit:
o POST & BEAM
o BASEMENT
WALKOUT:_Y VN
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 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 r.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 further certify that the construction will not be
used COCkG:: ;:it1::J7CYhas been issued O~h(;\:~ of c~m~~:i~CJarmel. Indiana, ~\ 'I \0)0
Signature of OWner or Authorized Agent Print Date
OFFICE USE ONLY: *************** **~ *,,** **** *** *****, *******, **1********* **** ***************
a"'~"\'1"""'\!!-III"IIl!iL ,<'"' ,~6
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INSPECTIONS REQUIRE" ~ J.;":' .:: 'c.;'",'. :-r. Ch d R _
- Base Inspedl n . .' I U # arge e
Upper Footing Lower Footing Under Slab ReViews
('R'ough I~ 6!-er Ba~ ~ Site
Cert. of Occupancy:
Community Services (Date)
Additional Fees
Reviewed
S;PermttsfFor
1.50
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