HomeMy WebLinkAbout07020014 Application
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City of Carmel/Clay 1?~"~fO F\~~ce with all Re:JlJi:J;\Ons Permit #: I
RESIDENTIAL ~ltb~If(J;~~~ I~~PERMIT APPLICATION
For Single Family, Multi-Famil f"Otf~,~W'l!~iF.{ctute~ ~~WI Remodels, &. Accessory Structures
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STREET ADDR SS
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EYI1Oi/eJ 2/<6/07
BUILDER of
RECORD:
NAME
o
, BEd~~ OF CONT:CT:
PROPERTY
OWNER:
NAME
FAX
STREET ADDRESS
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOH C\ ~
SECTION 1
ZONING:
ADDRESS OF CONSTRUCTION
3~S()
Dr
SQUARE 4 ~
FOOTAGE: l u
SEWERUTlLITY f1 TI)I..I -----\ WATERUTlLITY 11\ "~r'-- _I
PROVIDER: V \.I8:V.Q; , PROVIDER: l.:Al v (Y lC..f
~. ---- ~ , \
NAME OF UTlLITY EXCAVATlONCONTRACTOR; PLAN COMMISSION / BZA I BPW OOCKET ^_I
NUMBERS; TAC DATE(S); AND/OR COUtfT\WELL '~ND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): il
N R cnON:~ \ rf1, OF IMPROVEMENT: PLUMBIN~:?~T~_C:~O :
SINGLE FAMILY \ c-' \ AJ. NEW STRUCTURE ()>>LJ& ~
o 'OW"",," ,\ \ " 0\ ''''''' wornoo,,, "om''''', fuld~iana m:t Li se #:
o TWO FAMILY \. \0 \PORCH ADDmON(S)
# of Units: $ 0 REMODEL
o MULTl-FAMIL Y \ IY GJ ACCESSORY BUILDING
# of Units: .;0 DETACHED GARAGE
o RESIDENTIAL (For ':::::;~(2)/A-frACHED GARAGE
Additions, Remodels, Etc.) -:-;.;-~;D DEMOLITION
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
Which plumbing codes will be applied to the construction:
~Intemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ./ Manufactured /'
Permit: _ Y ----Y- Trusses: ~ N
V., ,/ v 0 CRAWLSPACE
Lot Split: _Y_N Sump Pump: _Y_N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM
~ BASEMENT ~
WALKOUT:_Y ~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 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 scq, General Assembly of the Stare of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
used or cupied unlil a tificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Print
Date
~~-D 7
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LY:************************************************************************
Filing Fees: -Jilt rJ/~6
INSPECTIONS REQUIRED:
Base Inspections: '7 I 6 # Charged Re-
'-cI "--0 ReViews
Cert. of Occupancy: 5,J. .::J I
I,:Z b L I 00
I t-/59,
Lower Footin Under Slab
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P,R,LF,:
Additional Fees