HomeMy WebLinkAbout07100210 Applicationf
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City of Carmel /Clay Township
BUILDER NAME. PHONE: FAX:
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RECORD: STREET ADDRESS: aTY: fR:1R
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PROPERTY NAME: PHONE: FAX:
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OWNER .
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STREET ADDRESS: CITY: STATE:
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LOCATION LOT A: SUBDIVISION AME:
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E SECTION: ZONI G: , I
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PROJECT L?l: )
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INFO: ADDRESS OF CONSTRUCTION:
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SEWER UTILITY W R UTILITY
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• ESTIMATED COST OF CONSTRUCPgN:
(EXCLUDING LAND VALUE)
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PROVIDER: /
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN MMISSION / BZA 1 BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT *'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATI S) TAX MAP PARCEL Y:
FOR THIS PROPERTY:
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TYPE OF CONSTRUCTION:
TYPE OF IMPROVEMENT:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
P9 SINGLE FAMILY
O TOWN HOME
O TWO FAMILY
# of units bng
onstruc at this ?rynJ 1
time; O i /I i3
O RESIDENTIAL (For u!-
Additions. Remodels, Etc.)j
PROTECT INFORMATION:
Early Release
Pet Sp ?j Y v<
Lot Split: _Y _N
O NEW STRUCTURE
O ROOM ADDITION(S)
O PORCH ADDITION(S)
O DECKADDTRON(S)
W REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
O DEMOLITION
)>710?
Permit
PLUMBING CONTRACTOR' U U- 1 a V cuur U
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P umb is Indiana State Li _
Which plumbing codes will be applied to the construction:
O International Residential Code w/Indiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: Check all that apply for the new
Manufactured -? construction area) ,tit vy?
Trusses: _Y N l O CRAWLSPA O POST & _ BEAM -PIER
Sump Pump: Y O SLAB BASEMENT (WALKOUT:__L,/_Y_N )
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 (Certficate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennies 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.
1, the undersigned, agree that hey construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use o'- land or structures
requested by this application wil] compiv with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance at Carmel Indiana - 1993' (Z-
269) and i mendmenrs, 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, barn, and floor drains are connected to the sanitary sewe=. I further certify that the construction will not be used or occupied until a Certificate of
Occuparrcyhasbeen iss &6y the Deparmnent of Community Services, Carmel, Indiana.
Signature of Owns or Authorized Agent Print Date
OFFICE USE ONLY:*********?*****************************************? 3**?****fi*****fifififififififififi
INSPECTIONS REQUIRED: Filing Fees:
Base Inspections: # Charged Re-
Upper Footing Lower Footing Under Slab Reviews
Cert. of Occupancy: J? S. Sh
Rough *L Meter Base'. Prial Site
wed: Dept. of Community Services
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P,R.I.F.: Additional Fees