HomeMy WebLinkAbout06020144-Application
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City of Carmel! Clay Township \J ~ Permit #: 'T "l
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
~_ ADDRESS
C>Ct r-Y7 t'
FAX
67S ;;rJ/<
STATE
-;v
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT.
d
SECT10N ZONING:
5
SQUARE
1::1 7J)fI?~7'1 FOOTAGE:6g~3
ESTIMATED COST OF CONSTRU ON:
UDlNG LAND VALUE) / ~O 030-
NAME OF UTILITY CAVA CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET 0 _,
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): !:-
TYPE OF CONSTRUCTION:
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
b-- 'jCWSTRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED Gr
o ATTACHED r
o DEMOLmO
~
.:JJ:BING CONTRACTOR: _
a.. vn Yn IT ~ ns J. h C-
Plumber's Indiana State License #:
--Lf I COCXJ / (J I
Which plumbing codes will be applied to the construction:
'Esr-1ntemational Residential Code wflndiana Amendments
o Uniform Plumbing Code wflndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
E , R I 73 M f ct d FOUNDATION TYPE: (Check all that apply for the new
ar y e ease anu a ure ~ construction area) re:: ./1.
Permit: Y Trusses: Y N \fU ,_ 'A It ....:I
. - 0 CRAWLSPACE 0 POST & BEAM1ff!!!!lj/S tV
LotSpht: _Y Sump Pump: Y N 0 SLAB ~ l:lASEMENT
Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOUT:_ 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 pennit, an~ Pe&9{IJ.Pktt;d (Certificate of Occupancy issued) within 18 months of the
issuance date. Class 1 strucmre permits are subject to the General A~~lis fgf a.a~!miliill4jUf4G~ lAC 12) regsrding expiration
time frames fot beginil~tlllnp31i1JBlG!lI1t-,g'l'1I8\>all reoulal"
I, the undersigned, agree that any construction, reconstruction, enlargement, relO~' . ~J!SP.:!~ or aJV~ge in the use of land or
structures requested by this application will comply with. and conform ,,~ . tee o'f1rmliifa, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments. adopttd under authority of 1.~'7l't, . 't1!ldilM3;&!il~. and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are ~~ fd:iUJl.l!beq~~tha\ ~W:..construction will not be
r occupied un . ~ CertifiC8te of Occupancy has been issue ' the Department 0 JJur:J~r~Jrvlc~~~iana. I.
. ~ /':<7/c) ~
. nature of Owner or Authorized Agent Date ( r
OFFICEUSEONLY:************************************************~*~*********************
Filing Fees: 9'5 9, ~ ()
INSPECTIONS REQUIRED: ' ,
. Base Inspections: .-2 {; '1 .".. 0 # Charged Re-
(UPpeF Footi~(iiwer Fo~g Under Slab .-- ) Reviews
_______. Cert, of Occupancy: .51 ..> G
~~ Q:'eter ~ Fina' S._i./. /.., .. A 0
-- _ P,RJ.F,: ~ c,.".
ilL- Fee~RecebV:- JS[TA~3;~~_Oo~
ReViewed/Approved: Dept. of Community Services (Date) __-'11...
S:PermIts!Forms/ILP RESIDENTIAL
Additionai Fees