HomeMy WebLinkAbout06100084 Application
City of Carmel! Clay Township Permit itlJ/:;> /00 ()J>J/--
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME
PHONE
FAX
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. BUILDER of
RECORD:
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BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
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PROPERTY
OWNER:
NAME
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PHONE
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STREET ADDRESS
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STAT;'
ZIP'
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LOCATION
&. PROJECT
INFO:
LOT #
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~ SEmON'"
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SQUARE / t7 2(
FOOTAGE: ((J D/
SEWER UTILITY
PROVIDER:
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WATER UTILITY
PROVIDER: (!11;efill3 L
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I 8PW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
,_ -0.
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
B TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
tJ - ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRActOR!':' .___,_ -_:, .,
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Plumber's Indiana Stat~ L,if~ns'VeT 1 1 2006 i i i Iii
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'-T'/to C/U 7: it 1\: \L'J i
I L_______'"_________.__'" ,
Which plumbing codes will be applied to the construction: !
jI( International ReSide~tial_COde,w/Indiana,Amendments~
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
Manufactured -A- FOUNDATION TYPE: (Check all that apply for the new
& construction area)
_Y . N Trusses: _Y N
o CRAWLSPACE 0 POST & BEAM
Lot Split: _Y -AN Sump Pump: $-Y _N 0 SLAB 9l. BASEMENT
Does any part of the property lie within a special Flood designation area: _Y N WALKOUT:_ y-X-N
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if construction com~ences
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 lndjana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction,
I, the undersigned, agree that any construction, reconstruction, enlargement, relocution, or alteration of a strucillre, or any change in the use of land or
strucillres 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 - 199r (Z~ 289) and amendments, adopted under authority of I.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 occupied untO a Cert' Ie eo! ccupancyhas been issued by the Department of Community Services, Carmel, Indiana.
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# Charged Re-
ReViews
-Ned/ Appr ept. of Community Services
lits/Forms/It.: RESIDENTIAL