HomeMy WebLinkAbout06080043 Application
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. City of Carmel/Clay Township Permit #: ~CIO 0 L{ 3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
e. . c.. PHONE~~ 9 - \ '8'15
CITY STATE
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BUILDE"'S EMAIL ADDRESS (\ \0 '\ "\ \/'1 ~ BEST METHOD OF CONTACT: . I
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BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME OF lJTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TY~F CONSTRUCTION:
SINGLE FAMILY
o TOWN HOME
o 1WO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PHO~4 d-I 8'7 S-
FAX
~q d- ~(2
\5,
STATE ZIP
'X'Jll, lj (P'd5\::)
ZONING:~_ \
SQUARE \J --Z ~ ~
FOOTAGE: -\ ...)0 J
ESTIMATED COST OF CONSTRUCTION: \~ S I r--.."'"
(EXCLUDING LAND VALUE) \ I ,-,'-l'-.)
~,.j\\-z- S.:>t Q 0.. vi 0..:-\ \......
PLUMBING CONTRACTOR:
W ~ \ \ '""'-~ <... ~\\J""'\o:V>cSl
Plumber's Indiana State license #:
~\000D;;}'7
Which plumbing codes will be applied to the construction:
&rI;rtemational Residential Code wi Indiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments '
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ./' Manufactured /
Permit: Y V N Trusses: ~/, N
. - - - 0 CRAWLSPACE
LotSpht: _Y ~ Sump Pump: Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _y.:L"N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM '
o BASEMENT /":
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 ofthe date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months ofthe
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 \.\ill 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 further certify that the construction will not be
d or DeCU ied until a Bcat Occupancy has been Issued by the Department of Community ServIces, Carmel, IndIana
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pnnt"t:J 0-- Date
OFFICE USE ONLY: *************~*~*** **, . Iii
U J8Ct to compll"lflli!1 ~~all regulations
INSPECTIONS REQUIRED: of State anifLocal Codes.
ru.;:;er Foot~<!ower Foot~ DEPJ;_QF COr~lJt\~~~~VICES
~ ~ (3'rCARMff:Jer;t.Cilf..A~crI0WNSHIP ~3. s-o
hIn r.B e Final Site __1~1~!:\ / . ,I ;] c; ~ {JO
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Reviewed/Approved: De
S:PermitsjForms(ILP RESIDE
"es. (Date)
Fee Received by:
*****************************
;;;;).7. 30
~ 77 )0
# Charged Re-
Reviews
Additional Fees
30