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HomeMy WebLinkAbout05110053-ApplicationCity of Carmel~Clay Tom~sMp Additions, Remodels, & Accessory Structures FAX PROPERTY OWNER: LOCATION & P:R~O. 3ECT TNFO. NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COHMISSION / BZA / BPW DOCI(E'T NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC pEP,~TT #'S (IF APPLICABLE}: PE :~-' IV ' - ;: C~ NEW STRUCTURE [] ROOM ADDITION(S) [] PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILDING [] DETACHED GARAGE [] ATTACHED GARAGE [] DEMOLITION ,N ~ , /.~ SINGLE FAMILY TOWN HOME TWO FAMILY # of units:. MULTI-FAMILY ~ # of Units: ~'~ [] RESIDENTIAL (For Additions, Remodels, Etc.) Early Release Permit: y ~N Nanufactured Trusses: Y /'~ N Sump Pump: Lot Split: PHONE CiTY FAX ES-HMATED COST OF CONSTRUCI~ON: ~'~ ;, /~ (EXCLUDING LAND VALUE) ~ ~ i State License #: Which plumbing codes wll! be applied to the I~] Intematinnal Residential Code w/Indiana Amendmen~ /(~ Uniform Plumbing Code w/Indiana Amendments (Mu~-Family Construction Code) FOU . ONTYP~: (Check all that apply for the new construction area) [] CRAWLSPACE [] POST & BEAM Does any part of the property lie within a special Fh:~:! designaUon area: y 7,. N For Single Family and Two Family dwellings, additions, remodels, and/or accessory wltht~ 180 days of the date of issuance of the building l~ermit, and mus~ be comple i~$uance dare. Cla~s I structore l~ermita are subject to the General Administrative Rules c 675 IAC 12) r time framea for beginning and completing construction. I, the under~gned, agree that any construction, reco~t~ction, en~gement, tel .oc. ation, st~uctores requested by this application will comply w~th, and conform to, all applicable laws of the State of b Indiana _ 1993' (Z~289) and a~endmemta, adopted under authority of I.C. 36~7 et so:{, General Assembl thereto. I further cert~y that only kitchen, bath, andfloor drains arecomaectedtothe sanitaxysewer. 1 furthel ~ that theconstructionwillnot be nsed/or occupied until a ~er~r~cac¢ o£Occup~¢yha$ been issued by ~he Department of Community Services, OFFICE USE ONLY: ************************--**************************--******** Filing Fees: __~2_'~ · O~) __ INSPECTIONS RE~UtRED: ~ # Charged R~- Revie~itY Services (Date) Re~d Additional Fees