HomeMy WebLinkAbout07050123 Application
City of Carmel/Clay Township RELEASED FOR CONSTRlJE'Pfd~
RESIDENTIAL IMPROVEMEN~lfb~G}Affr]j(j)N~~LICATION
For Single Family, Town Home, & Two Family: New StructtlhiliJlAllaiNbl1sr:~&, & Accessory Structures
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BUILDER
OF
RECORD:
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NAME:Jt\mtST
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BUILDER'S EMAIl ADDRESS: IlflJ J
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STREET r~S31
PROPERTY
OWNER: '
NAME.
LOCATION
& PROJECT
INFO:
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SEWER UTIUTY
PROVIDER:
. ,
~~~fe~SIGNATION(S) ',',\ ',;~
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TYPE OF CONSTRUcnON: TY Of MP OVEMENT:
-..../ \\\ II
~ SINGLE FAMILY ~<$I O\NEW RUCTURE
o TOWN HOME ,,'~" 0 R6~M DDmON(S)
o TWO FAMILY \ \j O.r1>ORCH DDmON(S)
# of units bein,g ~ /0 DE, ADDITION(S)
constructed at thiS ,/ 0 REMODEL
time: /'-""../ _ Basement Finish only
o RESIDENTIAL (For /' / 0 ACCESSORY BUILDING
Additions. RemOdels. Etc.l/ ~ DETACHED GARAGE
, / 0 ATTACHED GARAGE
PROJECT INFORMATION: 0 DEMOLmON
Early Release
Permit:
Lot Split:
~%
_vA
_V~N
Manufactured
Trusses:
Sump Pump:
ESTIMATED COST OF CONSTRUCTION: '1i2l11\~ ~ 5
(EXCLUDING LAND VALUE) ~ 3 I
A.\ 5
01
TAX MAP PARCEL #:
PLUMBING rcr~:(
Plumber's Indiana State Liceae~
/D~q D 7
't'hich plumbing codes will be applied to the construction:
~ International Residential Code w!Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM _PIER
~SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dweUings. additions. remodels. and/or accessory structures. this pennit is valid only if construction commences 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 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 Cannel Indiana - 199r (Z~
289) and amendments, adopted under authority of l.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 dra. ns are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
OccuPTcyhad>un is by the Departmeeo! Cnmmunity S",ices, C . Indiana. \ (J/
Signature of Date
OFFICE USE ONLY: * ************** * **** * ***** * * * * *** *********** * ********* *** * * ******* ** * ** * **** *****
INSPECTIONS REQUIRED: Filing Fees: ! 3~. S/)
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Base Inspections:
# Charged Re-
Reviews
P.R.I.F.:
Cert. of Occupancy:
Additional Fees