HomeMy WebLinkAbout06060133 Application
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City of Carmel/Clay Township Permit #:lXcao()l1-3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROJECT INFORMATION:
Early Release / Manufactured /
Permit: _Y ~N Trusses: _Y ~
v: ./.. 0 CRAWLSPACE
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~
BUILDER of
RECORD:
NAME M+
STREET ADDRESS
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PROPERTY
OWNER:
I
BUI~DE~'S EMAIL ADDRE(iS
Sl-<, mrcar-mdcoYJ
NAME T ff
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LOCATION
& PROJECT
INFO:
STREET ADDRESS
143g I
LO # 1tf6
OWe.n
v\.n, ; twor-fh
NAME OF UTILITY 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:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
uI RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
~ PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
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_7'11leFAX
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q"o~
PHONE
7D5-0
FAX
CITY
STATE
XN
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~: RI
SQUARE 0
FOOTAGE: ::( ()
ZIP
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o
POST & BEAM
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 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 vvi11 comply with, and conform to, all applicable laws of the Stare of Indiana, and the "Zoning 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 certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or DC pied un' CertIficate of Occupancy has been Issued by the Department of CommunIty Services, Carmel, IndIana
C-/ !!.,~k La LV!? u;) o?/ ~ /0 to
OFFICE USE ONLY: ******************************************************************
Filing Fees: / ~ ~ .8.::L
INSPECTIONS REQUIRED: / &,' r ^
. Base Inspections: /, ? J v
<0!per Footinv Lower Footing Undea:.Slab ~C:D "''''''' / c::- 3 -0
nt:Lt:J\.., c.. r'-8l.GOHSjfftbI€TION -----. :>
CROugh Y Meter Base ~SUi?JItl!\ In ;Ornfili~!\c@ ~!!th "I; fPQulations
of -S~tatlt ij~~Ik.~~~;~1 G0t18~~,
DEPT OF COMMWNI1''( SEit~
CITY OF CARME:L / C "y TOWN IP
oved: Dept of Community Services (Date) I
RESIDENTIAL
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Additional Fees
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