HomeMy WebLinkAbout06020125-Application
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City of Carmel/Clay Township Permit #CYciJd/)/.:<5
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
{, fn~ t/I1Jer{o
orRErr 7'6E/,'iJ 7 f( e de /1 f.; f}-
NAME
PROPERTY
OWNER:
BUILDER'S EMAIl ADDRESS
-3$-040).
NAME 5r t{&/ rl I< e eJ-
ItJ 2
LOCATION
& PROJECT
INFO:
LOT #
SUBDIVISION NAME
ADDRESS OF CONSTRUCTION
J35/ WOJo;{
(2)..
v/..J1 '
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER:
NAME OF UTILITY EX VATlON CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
b TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodeis, Etc.)
TYPE OF IMPROVEMENT:
i
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
FAX
36-t)1j)~ ,
CITY , STATE
(/)iJ J /e~ Ill/Ie
.::t,
ZIP
lI/Pt 02,
BEST METHOD OF CONTACT:
PHONE
FAX
?1C6 -
CITY
/
SEmON
ZONING:
2,'"
SQUARE
, 1 Ill. . - 'e :- ::::.-. FOOT~9~}3 i<J
ESTIMATED COST!qF; -', \NsrR~rnoNn~~~ U \~I/dO" ..:' I'.';
(EXCLUDING LAND ~A -- -C-A----. -=:1 i
jil. -/ V ' ,
If I FEB 2 4 2006 ill
I UJ_
PLUMBING CON[RAa:rcm.
f))p'
Plumber's Indiana State License #:
ji'
I,;
,j
iii
J~I
I
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
/' i.. FOUNDATION TYPE: (Check all that apply for the new
Early Release ./ Manufactured construction area)
Permit: _Y ~Trusses: y ~ N 0 CRAWLSPACE /0 POST & BEAM
Lot Split: _ Y _N". S!!It!P,P\l(l)p: ,...rf.ttJY ~ . ,t27SLAB v(. 0 BASEMENT
Does any part of "'C:.Si:Ji;~~m;I~~&~~g'~1 ~~C ~:ue~ation area: _Y _N WALKOUT:_Y_N
For Single Family and Two Fartilfy5itvilllingp,(&ciliitron~,~ils, and/or accessory structures, this permit is valid only if construction commences
within 180 days of ~fb9'Ore.,5IfUa~o~'.m~~~~i~~ef.112!ii' .4 completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I 'U.Q-lfqJr).f~t"s..~rs:,sup~ert"t2 iq(;~en ~ivc Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
CII Y Vl- l"J-\Hl\Ilt:44dH:..\ft~JfoJ ifrgl'iIMiCompletmgconstructlOll.
I, the undersigned, agree that any constructiJ:1N.!~sA1ktftftion, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993'" (Z- 289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I r certify that only kitchen, bath, and flo ains are nnected to the sanitary sewer. I further certify that the construction will not be
up,. duutilaCerti/ic eofOccupancy s eui ed by the a:m~toc;~~s;zs.carmel'IUdiaua.;) /;lY I/)6
Oite
INSPECTIONS REQUIR D:
~pe': Footi.v Lower Footing
~eter Base ~al
P,R.I.F.:
C Y"IL: ~ f/lJ~ Lr'" ?.--Z'f~ 06
Reviewed/Appro ed: Dept. of Community ServICes (Date)
S:Permits/Forms/ILP RESIDENTIAL
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ees: _ )") ,
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'# Charged Re-
Reviews
Additional Fees