HomeMy WebLinkAbout06010117-Application
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City of Carmel/Clay Township Permit #:0<101 ()/{:::c
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME P A- f P. R t= I J E
RECORD:
PHONE
FAX
8'1b-5;;';;J.. 7
8 Lfg-o. 1/'1
F
~ c De: s dJ /fol-.C!.o
STATE ZIP
c:.4R/'1eL ::t;"f.(, '1bo33
BEST METJ-iOD OF CONTACT: '" F {: Ie I? 'iJ if 8-0 117
i!.eLL. (""I7-/.;J.88
STREET ADDRESS CITY
b-45g Wa:>~D FIE:Lb 0
BUILDER'S EMAlL ADDRESS
PROPERTY
OWNER:
NAME
PHONE FAX
LOCATION
& PROJECT
INFO:
s
~'1Z-'f"3'1
STATE
::till
ZIP
'14:.03.3
LOT #
ZONING:
ADDRESS OF CONSTRUCTION
3"'''8'
c: ,4./f ,.. e-L
SQUARE
FOOTAGE:
SEWER UTIlITY ~/)
PROVIDER: c:l;:v
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S}
o PORCH ADDmON(S}
cV REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
ESTIMATED COs)";{Jf-!:QNSIRY
(EXCLUDING LAND,VA UE)=' J
!II I '__':':J'
''')
Iii
ii'
Iln
flIJI~
PLUMBING CON~ OR:
)./A-I/i Miwe L3-~
Plumber's Indian!! State License #:
e.p j.ool!)o/
u
'6
NAME OF UTIlITY EXCAV ON CTOR; PLAN COMMISSION I BZA 1.fIw DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
. Uniform Plumbing Code w/Indiana Amendments
(Multi-Family COnstruction COde)
PROJECT INFORMATION:
Early Release ~ Manufactured /'"
Permit: _Y ~ tlV" Trusses: _~N.---
--r 7: 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB 0 BASEMENT "../
Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOur:_ Y ~
For Single Family and Two Family dwelli~~;~4:4rFi9~:.!:n;dd,~rt. ~\tdtJr!~cltes.J~!slGCBQ~~this permit is valid only if construction commences
within 180 days of the date of issuance of tneb1iilai'hg pftHrl~,l!iilatinustil)lh:Qrij~teel~~te of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject tcftb, ~:Gener:M4.9JJ?!,.~p;prec, ;~p,~ ortiii'~{jte of Indiana (See 675 I~C 12 mo ",~,' iration
DB!iiif-r~s(or~gip,~pjg,~col11pkllhg constructiO~IM~ !!'J ,,_
I, the undersigned, agree that any constru~~CM~~9.n:..etif:iIgeiknt':fd.o~a~biiMUGS . ,
structutes tequested by this application will' compl1"'li'h,l<rIid ~lli'ofiiU<f. ~9"llIeA-moWII ' ' g Otdinance of Carmel
Indiana - 1993" (Z-289) and amendments, adopted nnder authoti'Jf N!5P'i;? 1.' seq, celieM II'!; oft e State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath. and floor drains are conn'2tlc]oo the sanitary sewer. I further certif1'tbat the construction will not be
used or occu ied until a Certificate of Occupancy has been issued by the Department of Community Services, Cannel, Indiana.
r
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Print
/ /e;:J~.b
Date '
****************** ****************************************
~ )(; Filing Fee : /2 f? '? ;"
INSPECTIONS REQUI 0' L 0 ol'l .
, d Base Ins ections: / 0 '7. 0 U # Charged Re-
Upper Footing Lower Footing nder Slab '/ /' ~/ .r.O' Reviews
--- .,. 7 ') .> I- J
C RO~9h In ~eter Bas~--___Site '
_ ~ - - - _________ P,R,LF,: Additional Fees
~' ~/ TO',T,'AL~' / iJ :;??? ,;2..)'"
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ReviewedjApprovdd: Dept of COmmunity Services (Dale)
S:PermIts/FormS/ILP RESIDENTIAL
Fee Received by: