HomeMy WebLinkAbout07020104 Application
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City of Carmell Clay Townsl!liPT OF COMMUN~ Codes Permit #: () 7 ~ (J (J 1
RESIDENTIAL IMPRcrM:~I\ffl!)OAJ.'~~\9F,m.rrT APPLICATION
For Single Family, Multi-Family, &. Two Family: Ne~, Addfi{JfKtf,{~IS, &. Accessory Structures '
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NAME OF UTILITY EXCAVAl)O,N:CO~;~fLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(~);. ~~f;05'COU ", ~~D/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
/.... ',\ "'.
TYPE OF CONSTRUCTION: "\~ P OF IMPROVEMENT:
~SIN5'Ca~Mfu ~ >- "/ EW STRUCTURE
o TO~~~HOM~'\.. 1::1. /' ROOM ADDITlON(S)
o TVY~;FAMIL Y..~. /0 PORCH ADDITION(S)
# ,?f'l(n1ts. .v, 0 REMODEL
o MUL;n~~~MILY /' / 0 ACCESSORY BUILDING
#,?fVnlts:, , /' /' 0 DETACHED GARAGE
o RESID,EtJTlAL (For / 0 AlTACHED GARAGE
AdditiO"\ Re~Jders, Etc,) 0 DEMOLITION
PROJECT INFORMATION:
Early Release / Manufactured /
Permit: _Y LN Trusses: _Y_N
. /. 0 CRAWLSPAC~L
Lot Spht: _Y ~N Sump Pump: Ly _N 0 SLAB .~
Does any part of the property lie within a special Flood designation area: _ Y /'S-N
BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOH JOCl
SEWER UTILITY
PROVIDER:
~
CITY
STATE
ZIP
SECTION
ZONING:
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE)
PLUMBING CONTRA OR:
Plumber's~s~~ #:
I Dt11 rP;
Which plumbing codes will be applied to the construction:
~nternational Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM
~BASEMENT /
WALKOUT:_ y-LN
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 \vith, 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 aurhority of r.c. 36~7 et seq, General Assembly of the Srate of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sev./er. I further certify that the construction will not be
used or upied until a C flcate f Occupancy has been Issued by the Department of Commumty ServICes, Carmel, IndIana
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Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R,LF,:
OFFICE USE 0
INSPECTIONS REQUIRED:
C Upper FOO~~Foo~Under Slab
(Rou~~al ~
tid ' ~
Reviewed/Approve t. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL
7
53, !)()
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# Charged Re-
Reviews
Additional Fees