HomeMy WebLinkAbout06060139 Application
City of Carmel/Clay Township &I~ i/1/),Jrpermit#: CfPOf!J 013.,.
RESIDENTIAL IMPROVEMENT LOCATION;ERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
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PHONE FI>X
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CITY ZIP
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BEST METHOD OF CONTACT:
PHONE FI>X
CITY STATE ZIP
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SEmON ZONING:
NAME
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PROPERTY
OWNER:
STREET ADDRESS
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LOCATION
8r. PROJECT
INFO:
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ADDRESS OF CONSTRUCTION
SUBDIVISION NAME
SEWER lJTILITY
PROVIDER: rl ^ ~ ..
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WATER UTILITY
PROVIDER: ~~L
ESTIMATED COST
(EXCLUDING LAND
SQUARE
FOOTAGE: a>=o (>
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NAME OF lJTIUlY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE,OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PLUMBING CONT I
"
o NEW ST~ ',-" \,..>oJ,
o ROOM 0 FO~lumber's Indiana
o PORCH A flAtm(6cm" CON
r5l' REMOtlf.L. OfSt P Iil w;, N
o AC~~SlffiBmWI9 anrJ1'i..~cli hllil\l,. . s e applied to the construction:
o ocM~ ~OMM~~JiR_al' ~~ntial Code w/Indiana Amendments
o ATTACHEO....dA ME:.L I r .c:u:::o~ .
o OEMOUTION ;ee:,u.aW>lffi'Pl' ode w/Ind,ana Amendments
INDIANA1't'lUIti~~t('pttion Code)
PROJECT INFORMATION: . Vi:)H,
Early Release / Manufactured /' FOUNDATION TYPE: (Check all that apply for the new
Permit: _Y ~ Trusses: _y LN construction area)
/ N ~ 0 CRAWLSPACE ' O/!,OST & BEAM
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB / l1l BASEMENT /
Does any part of the property lie within a special Flood designation area: _ Y LN WALKOUT:_ Y ~N
TYPE OF IMPROVEMENT:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days ofthe date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months ofthe
issuance clate. 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, relocatiDn, or alteration of a structure, or any change in the use of land or
structures requested by this application ",ill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
In na - 199r (Z~ 289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
the to. 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
use lor occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
Agent
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Print
I.s:> - a-o . D(..
Date
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Filing Fees: 1'3 3 ~ ) V
INSPECTIONS REQUIRED: ;' II. //
Base Inspections: __ VV
Upper Footing Lower Footing Under Slab /;1
Cert. of Occupancy: '::>.2. :> l/
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Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsjFormsjILP RESIDENTIAL
# Charged Re.
Reviews
Final
Site
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P.R.I.F.:
Additional Fees
Fee Received by: