HomeMy WebLinkAbout06090145 Application
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City of Carmel/Clay Township Permit #:0 hCqDJ f5
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
NAME:
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LOT #6 SUBDlVISlON NA~E:
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PHONE:
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FAX:
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BEST METHOD OF CONTACT:
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PHONE: 5(ft:1-//~
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~ /f/"eECTION:
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FAX:
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SEWER UTIlITY WATER UTlll1Y/: ,,~~ L...I
PROVIDER: PROVIDER: (/f~" P'~
NAME OF lfTILIlY EXCAVATION CONTRACroR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGN
FOR THIS PROPERTY:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
~ RE~~D~NTIAL (For
! ) Additions. Remodels. Etc.)
A2
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TYPE OF IMPROVEMENT:
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDmON(S)
DECK ADDmON(S)
REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
o
o
o
~
Early Release
Permit:
PROJECT INFORMATION:
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Manufactured
Trusses:
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Y N
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Lot Split:
Sump Pump:
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SEP 2 7 2006
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Plumber's I
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Which plumbing codes will be applied to the construction:
o International Residential Code w IIndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)'"
~LSPACE? POST & BEAM PIER
o SLAB ~ASEMENT(WALKOUT:_Y_N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance Ofmilhe b" ,,~, s - e completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pe " _ , . s of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
!, the underSi:caN onstruction, rewnstruction, 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 ents, adopted under authority 0 6-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, h nd floor drains are connected 0 nitary sewer. I further certify that the construction will not be used or occupied until a Certificate Q
Deco c as been issu Community se7')i;;;anap ?t?j~
Print
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# Charged Re'
Reviews
Additional Fees
Fee Received by;
Date