HomeMy WebLinkAbout07010025 Application
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City of Carmel/Clay Township t V Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
STREET ADDRESS
50
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BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
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LOCATIO
&. PROlE
INFO:
STREET ADDRESS
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PHONE 8l./' - l.f '1 3 s :rl:
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BEST METHOD OF CONTACT:
FAA
CITY
STATE
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SEWER llTlLITY
PROVIOER:
WATER UTILITY ..
PROVIDER: :J: n d
Cia
NAME OF LfTlU1Y EXCAVATI N CONTRACTOR; PLAN COMMISSION I BZA I BPW CKET
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
.J # of Units:
~ RESIDENTIAL (For
Additions, Remodels, Etc)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ".ROOM ADDITION(S)
19'" PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
SECTION
ZONING:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
SQUARE b
FOOTAGE: ) -t.
bO
f g60
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PLUMBING CONTRA//, ~-~~~i:')jv-
Plumber's Indiana Sta II
o International Residential Code wI In Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
tJ-A
FOUNDATION TYPE: (Check all that apply for the new
construction area)
/ Manufactured
Yy ':!../NN Trusses: _ Y v1J
v. D,;CRAWLSPACE
lot Split: Sump Pump: _ Y ~ 5a" SLAB
Does any part of the property lie within a special Flood designation area: _Y.JL.N
o
o
POST & BEAM
BASEMENT
WALKOUT:_Y_N
FOT 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 lndiana (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 with, and conform t all applicable laws of the Stare of Indiana, and the UZoning Ordinance of Carmel
Indiana - 199r (Z~ 289) and amendments, adopted under authority of I. ' 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify 0 y "tchen, bath, and floor rai r "c ecred to the sanitary sewer. I further certify that the construction will not be
us cupied un " a Certjfi te ofOccupancyha ~ 's~ the' partment of Community Services, Carmel, Indiana.
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Date
# Charged Re-
Reviews