HomeMy WebLinkAbout04120020 Application
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CityofCormel/Cloy Township Arpa Permit#: (JIIJ.. C;Op.-o
RESIDENTIAL IMPROVEMENtlOCATION PERMIT APPLICATION
For Single Family, MUlti-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of NAME
RECORD:
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PHONE
FAX
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BUILDERS EMAIL ADDRESS
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PROPERTY
OWNER:
NAME
LOCATION
8r. PROJECT
INFO:
LOT #
SU~.I IVIVSION NAMi;
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PHONE
LL
84' -I '75
STATE
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ZIP
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CITY
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SECTION
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SQUARE
FOOTAGE: 5
~:~D~l1TY c. \\~:W u ~~~~~~G C3.~o O:A~~~)STRUCTION: 'dL{D "QeD
NAME OF UTIl1TY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET \~ \ \
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEI'11C PERMIT #'S (IF APPUCABLE): '-' u"
PROJECT INFORMATION:
'i FOUNDATION TYPE:
Early ,Release ~ Manufactured construction area)
PermIt: _Y Trusses: _N ~
I\lJ CRAWLSPACE
Lot Split: _Y N Sump Pump: Y _N Q' SLAB -&--""->>>-
Does any part of the property lie within a special Flood designation area: _Y LN
For Single Family and Two Family dwellings, additions, remodels, andlor accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building pennit, 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 -1993" (Z~289) and amendments, adopted under authority of LC. 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 0 occupied n' a Certificate of~"!'E~~~~Jll OOil"d.GlN:ommu"{t; Services, Carmel. Indiana.
. oject to compliance' 1 I ~SZ-tJ\ '5 \d--..-~~D\..l
~a nt 0 a e and Pr~ u~;:) \ Date
OFFICE USE ONLY: ******* *'* li<o/'oI!!o,* _ iI<~* ***:f.~~'i!'I~MAfF!**********************************
CITY OF CARMi::L I CLfh~g Fe'e,!;\\!~ 1< Jilt, . to ()
INSPECTIONS REQUIRED: iNDiN;:~ . r"J I Q AlO # Ch d R _
Base Inspections: "j~_ '* v arge e
Upper Footing , ower Footing Under Slab ~/" ~ 0 Reviews
Cert. of Occupancy: '<:fLL . C/
.,;;.....)4f" CO~D~b~~;;Z~ f7~3..
(Dale) F~~Y~~
TYPE OF CONSTRUcnON:
Ei SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
d NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Reviewed/
s: PermIts/FormS/ll
PLUMBING CONTRACTOR:,
_,;\~ ~\J..,..,...b,~
Plumber's Indiana State License
C. t? <go'd~o \ <xL\
Which plumbing codes will be applied to the construction:
~temational Residential Code w/lndiana Amendments
o Unlfonn Plumbing Code w/lndiana Amendments
(MUlti-Family Construction Code)
(Check all that apply for the new
o POST & BEAM
1\7' BASEMENT /
WALKOUT:_Y~N
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