HomeMy WebLinkAbout06050215 Application
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Ctty of Carmel/Clay Townshtp lY ~ Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
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?Jll\ET ADDRESS '\ 0 j em (\
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~ZIP ~lo\J
PROPERTY
OWNER:
BUILDER'S EMAILADDRESS J:::\hr""
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BEST METHOD OF CONTACT:
('Y'\~\
PHONE _
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LOCATION
& PROJECT
INFO:
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SECTI'OO I ZONI~ \
SQUARE
FOOTAGE-
SEWER UTILITY
PROVIDER: :r \2-. \t-4 b
NAME OF lJTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
Q SINGLE FAMILY r..[J'1f'\) 1!ti NEW STRUCTURE
""'liB TOWN HOME 11..i, ~ 0 ROOM ADDITION(S)
o TWO FAMILY'J 0 PORCH ADDITION(S)
# of Units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILD~NG__._~~~~~~~Pliedtotheconstruction:
O R~S~6~~TI'tsA' L (F 0 DETACHED GARAG,if,=:n' fC'V': ,~In, te:rija'lona1'Re~d'lntiaJ Code wI Indiana Amendments
or 0 ATTACHED GARAG61 L\.C, ""-' I.=,c.. l, W [r= i}J I
Additions, Remodels, Etc.) 0 DEMOLITION Ii L, UnifornrPlumbin91 ,"l'i1"/Indiana Amendments
RE (Multi-Family Constr~ 10 ode)
PROJECT INFORMATION: LEASE i
Early Release ':K Manufacture~u.;ct to c R, 6rvp.: heck all that apply for the new
Permit: Y N Trusses: '0 a n~fm
. - ':/I- D~nF Deal' POST & BEAM
Lot Split: _ Y ~N Sump PU"ej , "I' M ' BASEMENT
Does any part of the property lie within a specIal fo~l!.t;oc WALKOUT: Y N
For Single Family and Two Family dwellings, additions, remodels, and/ A.st~~i~'~~ ',: I la is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (CdtirI~i~e of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of th~ st~t~'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 \.\il1 comply with, and conform to, all applicable 1a\vs of the State of Indiana, and the UZoning 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 cettify that only kitchen, bath, and noor drains arc connected to the sanitary sewer- I further certify that the construction will not be
us 0 eUPle~il a Certo/ieate of occ~pancy,s been Issued by the De~t of Com ~Ulty ServIces. rrmel. fndIana. S/3J.-j I Cip
Signature of Owner or Authorized Agent Print Date
0..;
Pliroqo~tate License
***************
OFFICE USE ONLY: ********************************************
Filing Fees:
Base Inspections:
Cert. of Occupancy:
INSPECTIONS REQUIRED:
~ Lower Footing Under Sla
~C€~
W~~
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsjFormsjILP RESIDENTIAL
# Charged Re-
Reviews
P.R.I.F.:
Additional Fees