HomeMy WebLinkAbout06060045 Application
City of Carmel/Clay Township Permit #:ddJlJ)d-f5
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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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ZIP Lr 60:
PROPERTY
OWNER:
BUILDER'S EMAIL ADDRESS
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LOCATION
&. PROJECT
INFO:
SEmON
ZONING:
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SEWER UTILITY
PROVIOER: C--;:;tv meA
SQUARE II Pi / a,
FOOTAGE' '1 """'{ (J,J'
WATER UTILITY I
PROVIDER: ~
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I 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:
If..Y RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
cz;v1)ETACHED GARAG
o ATTACHED GARAG
o DEMOLITIO
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Which plumbing codes will be appliecfl:o-the'construc:tion:J
PROJECT INFORMATION:
Early Release~ /an factured . ./
Permit: Y ~ / sses: Y V~NN
. - - ---:- 0 C WLSPACE
LotSpht: _Y Sump Pump: _Y_ ~B
Does any part of the property lie within a special Flood designation area: _Y ~N
o International Residential Code wI Indiana Amendments
o
Uniform 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-K-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 will co 'It ,a nform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993n (Z~ 289) and amendment, opted under authorit f I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kit en, bath, and floor drains are nected to the sanitary sewer. I further certify that the construction will not be
used or occup,ed untIl a Cerrinca of Occupancy has been "sued b the Department of Commumty ServIces. Carmel. Ind,.na. ! 10
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Date
OFFICE USE ONLY: **** ***************'U***
INSPECTIONS REQ - 3
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~~Meter Base 8' Site
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ReviewedjApprov d: Dept. of Community Services (Date)
S:PermitsjFormsjILP RESIDENTIAL
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iling Fees: I~~ ' ()
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Base Inspections: i (,1 -( () # Charged Re-
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Cert, of Occupancy: <) ),. J
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