HomeMy WebLinkAbout06060044 Application
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City of Carmel/ Clay Township Permit #:0""010 QoLj1f
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICArrION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory St~uctures
BEST METHOD OF CONTACT:
BUILDER of
RECORD:
PROPERTY
OWNER:
FAX
r~26 5 ()
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
ZONING: yf
SQUARE / / f)
FOOTAGE: rp 5 {/
IJ () (}O
LOCATION
& PROJECT
INFO:
lOT #
SUBDIVISION NAME
SECTION
SEWER UTILITY
PROVIDER:
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY ...-ad'\ d ~ ~
o TOWN HOME ....~ \(tP'""" Ei
o TWO FAMILY '0 0
# of units; -'11~ 0
o MULTI-FAMILY 1~ )i:l'
# of Units; 0
'Jif RESIDENTIAL (For 0
Additions, Remodels, Etc.) 0
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
w
o
PROJECT INFORMATION:
E I R I Manufactured FOUNDATION TYPE:
ar y e ease JL
Y iiN Y "VN construction area)
Permit: _ Trusses: - ~ -=- ~WLSPACE
Lot Split: _ Y Sump Pump: - Y -IC-N rifJ -sIJlE)
Does any part of the property lie within a special Flood designati~ Y-?-N
(Check all that apply for the new
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 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 e'xpiration
time frames for beginning and completing construction.
1, 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 will 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 r.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 ar~con ed to the sanitary sewer. I further certify that the construction will not be
~ ~ Certificate of Occupancy has been' .sr<<:d by th~ partment of c;~munity Services. Carmel, Indiana. b 1& I () b
Signature of Owner or Authorized Agent Date
INSPECTIONS REQUIRE
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Filing ees;. ? 0, dO
.;J.- 7 7. )0 # Charged Re-
~'O ReViews
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OFFICE USE ONLY: ************* ***
Additional Fees
ity Services (Date)
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