HomeMy WebLinkAbout06070134 Application
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,~~y of Carmel/Clay Township ^ f) k Permit #:(41(r/oc:~ y
RESIDENTIAL IMPROVEMENT Lock~N PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
FAX
s- - "6 'IDle>
fn ywl2'LO
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
rJ /0...
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTR
(EXCLUDING LAND VALUE)
L
N CO RAcrOR; PLAN COMMISSION I BZA I BPW DOCKET
D/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
~ PORCH ADDmON(S)
1!6 REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
_J # of Units:
l\J' RESIDENTIAL (For
Additions, Remodeis, Etc.)
o International Residential
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
Plumber's Indiana State License
PROJECT INFORMATION:
/:: FOUNDATION TYPE: (Check all that apply for the new
Early Release / Manufactured construction area)
Permit: Y ,/ N Trusses: _Y _N'
Y 7:N . 0 CRAWLSPACE O.
Lot Split: Sump Pump: _ Y ~N' 0 SLAB 0
Does any part of the property lie within a special Flood designation area: _Y ~
POST & BEAM
BASEMENT
WAlKOUT:_Y _
N .
c
For Single Family and Two Family dwellings, additions. remodels. and/or accessory structures, this permit is valid only if construction commences
within ISO 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 comply '\'\"ith, 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 are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Cor . cate of Occupancy has been Issued by the Department of CommunIty ServIces, Carmel, IndIana ~
Do"
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3). :)u
'J I ( (JU
. 53 )'0
# Charged Re-
Reviews
***~~*******
INSPECTIONS REQ RED: / '/': If
Base Inspections:
Upper Footing Lower FDoting. SED tOO &~tl!~9TION
CRough In.-:) Meter BaSe Final !---EI~~ct to compliance with all regulations
_ _ .' ) of Stat,p,-R\fifE.Qcnl Codes.
~".". -"
, DEPT OF COMMUNITY SEB..\LJ ~
CITY OF "'Ar"'MFL ! CI Jl'! T-':~" .
\wi 111_. I "_., .u.
~
Reviewed/ Approv d:
S:PermitsjForms/ILP RE
(Date)
Additional Fees
Fee Received by: