HomeMy WebLinkAbout07090143 ApplicationCity of Carmel/Clay Township Permit #:
RESIDENTIAL EMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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STREET ADDRESS
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BUILDER'S EMAILADDRESS BEST METHOD OF CONTACT'.
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PROPERTY
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STREET ADDRESS
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LOCATION 'O 9 SUBDIVI53 N NAME SECTION
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INFO: ADDRESS OF CONSTRUCTION 4V7o9o I A FOOQUARE
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=E UTILITY
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PROVIDER: J?
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O I MATED COST OF CONST U
{EXCLDFING LAND VALUE) ON'.
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NAME OF LMUTY vAmo 6N RACTDR; PLAN COMMISSION f BZA! BPV1 DOCKET n
NUMBERS; TAO DATE(5); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT z'S (IF APPLICABLE): V O ?-
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TYPE OF CONSTRUCTION:
Ar SINGLE FAMILY
C TOWN HOME
? TWO FAMILY
# of units:
? MULTI-FAMILY
# of Units:
? RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit: Y ?< N
Lot Split: _Y XN
TYPE OF IMPROVEMENT:
?SC NEW STRUCTURE
C ROOM ADDITION(S)
? PORCH ADDITION(S)
? REMODEL
? ACCESSORY BUILDING
? DETACHED GARAGE
? ATTACHED GARAGE
? DEMOLITION
Manufactured
Trusses: Y kN
Sump Pump: _?__ Y N
Which plumbing vivpy?[
kIntemational Reside
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? uniform Plt ig GQ{e fr r;96 a: jAi4end i?S'Ynr FS
(Multi-Fernl3lq €4fticCnA:ROI-L-!'C! N TOVJfvSHIP
FOUNDATION TYPE: (ChecKalf)thatapplyforthenew
construction area)
O CRAWLSPACE
Cl SLAB
? POST & BEAM
.?1 BASEMENT
WALKOUT:XY I N
Does any part of the property lie within a special Flood designation area: _Y ZN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structure„ this permit is valid only if construction Commences
within 180 days of the date of issuance of the building permit, and musr be enmpleted (Certificate of Occupancy issued) within [8 months of the
issuance dace. Class I structure permits are subject tD the General Adrrimistrarive Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
1, the undersigned, agree thet any construction, reconsrrucdon, enlargement, relocation, or Jt=tjon of a suuaure, of any change in rhs use of land n:.
structures iecluestcd by this application will comply anrh, and conlorm co, all applicable laws of the State of Indiana, and :he -Zoning Ordinance or Carmel
Indiana -1993' (Z-2R;) and amendments, adapted under authorin• of I.C. 3b-7 et scy, General Assembly of the Stare of Indiana, and all Acts arnendarory
thereto. I further certify that only kitchen,barh, and floor drains are ccnneeltd to the sannIrY sev:er_ I further cerdfy that the construction will not be
ussW or occupied until a Certificare o(occupancyhas been issued by the Department of Community Services, Carmel, Indiana.
Signature or Owner or Authorized Agent Print Date
OFFICE USE ONLY: *s******x******** K**** K**** s***********s*********a *** k**x*xss**r***
Filing Fees: fat OZ? ?Ir
INSPECTIONS REQUIRED:
Base Inspections: x chaffeed Re-
Upper Footin Lower Faotin rider Slab Reviews
Rough En Meter Bas Final Site
Re w
zel_ Approv f, of Community Services (Date)
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Cert. of Occupancy: .7.S - SV
Fee Received 10T