HomeMy WebLinkAbout07090090 Applicationb- - Permit #: o2og0
. : Z City of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
.P F../ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME.
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RECORD:
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STREETADDRESS:
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BUILDERS EMAIL ADDRESS: 11
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A BEST METHOD OF CONTACT:
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PROPERTY NAME:
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OWNER: S w Q_L_
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STREET ADDRESS' L. /
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LOCATION LOT Y. SUBDIVISION NAME: SECTION: ZONING:
PROJECT
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INFO:
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ADDRESS
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FOSQUARE
OTAGE:
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SEWER UTILITY
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ACA WATER UTILITY We tk
PROVIDER: ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
PROVIDER: -
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DAT E(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): pz?
FLOOD ZONE AREA DESIGNATION(S)
OR THIS PROPERTY
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TYPE OF CONSTRUCTION GR TYPE.OF:IMP1EOVEMENT: L MBING ON JI
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SINGLE Fr N
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bte3 Plumbers is a
O TWO FAMIE* OZ ? . - . j', P 'P0. HjADDMON(S) s
# of units being. ? C?4 r ? t;pEC1? ADDITION(S)
construct?afthis hl\t=?j ODEL
Which plumbing codes wil applied to a construction:
time: C' Basement Finish only
719 r O ACCESSORY BUILDING 0 International Residentia a w/Indiana Amendments
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Additions, Remodels. Etc.) O DETACHED GARAGE 0 Uniform Plumbing C e w/In a Amendments
? ATTACHED GARAGE -
RO E'OORMATION: DEMOLITION FOUNDA ON PE: (Check all that ly for the new
Eddy Release constructio iea)
Permit: Tru Y _N CRAWLSPACE ? POST & _ BEAM PIER
it. _Y _N Sump Pump: _Y _N 0 SLAB L-i BASEMENT (WALKOUT:--y--N )
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For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
davs 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 IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree .Sat any constriction, reconstruction, enlargement, relocation, or alteration of a structure, o: any change in the use of land or structures
requested by this application twill complN with, and conform co. all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993- (2-
289) are amendment;, adopted underauthority of I.C. 36-7 et seq, General Assembly of the Sure of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains am connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certi£crte of
Occapancyhas been issued by the Department of Community Services, Carmel, Indiana.
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Signature of Owner or Authorized Affl Print Date
OFFICE USE ONLY: *xxxx**x*x*x*x***xx****x****xxx**xx*******xx***xxx**xx*x**xxxx**xxx*xxx****xx****
INSPECTIONS REQUIRED: 2) Filing Fees:
# Charged Re-
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Reviewed/ proved: Dept, of Community Services (Date)
S:PermltsiF=i%fILP RESIDENTIAL
Upper Footing Lower Footing Under S
Rough In Meter Base Final Site