HomeMy WebLinkAbout06060230 Application
City of Carmel/Clay Township tf' 4--
RE~IDE~T~ ~ROVE~NT Lp~A-'FIQF:JJ?~RMIT APPLICATION
For Single FamIly, Multi-Family, &. Two FamIly: New)iitrU " ns" ~,,!,,~els, &. Accessory Structures
NAME 'FAX
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BUILDER of
RECORD:
, ~BUlLOER'S'EMAILOADDRESS-
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Permit #:
ZIP
PROPERTY
OWNER:
NAME
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FAX
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Which plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION: / '
Early Release ~ Manufactured V ~ FOUNDATION TYPE: (Check all that apply for th~ new
P 't y.~ v~N, co~struction aJ
erml : _ sses: .J. - _
. C--- - - - -" -....:.: RA\i\!CSPI\CE--,-,-.6J_POST & BEllM
Lot Split: _Y Sump Pump: _y. 0 SLAB ~AsEMENT- ~
Does any part of the property lie within a special Flood designation area: _ Y --.if ~ALKOUT:'::=:Y- - :: N
LOCATION
&. PROJECT
INFO:
LOT #
r
ADDRESS_OECONSTRUOlON
/~3'
-wIITER'UTItITY
eRovI~:
SEWER UTILITY
PRoviDER:
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION J BZA J 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:
~ RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
'&Q) ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Pt1QNE
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STATE
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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, enlargemC[lt, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, a -eanform to, all plicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -1993" (Z~289) and amendments, adopted und authority of I.C. 36~7 e seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I fur er certify that only kitchen, bath, an oor drains are connected t the sanitary sewer. I further certify that the construction will not be
used 0 UP. ed until a Certi{jcateo[Oc 'Fa y.hasbeeni~~ '3bYt e rtmentC:m;n~~riceS,Carmel.lndiana"6 J;>.. 7 h ,
Signa Pri Date I
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[P.~D'8'1!b~?!'th all regulations / '7:3, )C'
: of Stalg'~lMd teeal Codes. '
DEPT OF OOI,MJffllNFP?Itl:ERVICCS / / / 00
Upper Footing Lower Footing Undfoon-i:lab-
-vnruF CArdl!\t;lcy'~if~WNSHIP 53., -'0
,€.oUgh~MeterBase ~ite INDI~NA
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Oept.ofCommuOl Se~lces ~t~DITI~~~F, 00
ENTIAL Fee Received by:
INSPECTIONS REQUI
# Charged Re.
Reviews
Additional Fees
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