HomeMy WebLinkAbout06010122-Application
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City of Carmel/Clay Township Permit #ObOI O/:xJ.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME / .
~C>t-:>~'C
STREET ADDRESS
10
';:;~R5-1CAP
.) "u Et...> 1<'0 '
BUILDER'S EMAIl ADDRESS
PROPERTY
OWNER:
LOCATIO
& PROlE
INFO:
PHONE FAX
(30) 33'7-117:2-
CITY /f. I STATE
cI?EEA.:>f(Erf) JJU.
i\-?'\ BEST METHOD OF CONTACT, r; )
~i\ " '''...;... 1.3/7
SEWER UTILITY
PROVIDER:
NAME OF LfTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DocKET A
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): 14-
TYPE OF CONSTRUCTION:
lEi SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
Fji( PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONT
/'J-A
Plumber's Indiana S
Which plumbing codes wi!
o International Residential Code w7ln~
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE:
./ / construction area)
Permit: Y N Trusses: Y V N
. ~ / 0 CRAWLSPACE
Lot Split: Y LN Sump Pump: Y ~N ~ SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~N
(Check all that apply for the new
~ST & BEAM
o BASEMENT
WALKOlJT:_ 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 o~Pl1il~qP'ftVI~~SiJi~ate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits ar~s~g"t1teGene~r:! Adminis~~at!'if ~~uYabo~te of Indiana (See 675 lAC I2) regarding expiration
SUIlJlllif{rtg.,~Iil!'gllllrt\lgWAU 'clilHpR!i"lj construction,
I, the undersigned, agree that any construction, reconsr(!JfrSta4eiafWtfiie~ti.i4lc~ht~~a1teration of a structure, or any change in the use of land or
structures requested by this application wil~C ~vrit~~m:~tl~~l\la8€<f1~Ste of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" (Z~289) and amendments, ado :~nUeHJth~h(bl.. t:- t f the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, 1J11{d(iNi GARU t~~~~}'grther certify that the construction will not be
used Ot occupied, until a Certiflcate oIOccupancy has been ~N~tment of Comm~nity Services, Carmd. Indiana, ~ ~
Lcu...Joni<- ,,(:;'-r,?-s-lc'J4P , ~ . I S Oh
Signature of Owner or Authorized Agent Prmt Date
OFFICEUSEONLY:************************************************************************
Filing Fees: L'1-J./. <63
INSPECTIONS REQUIRED: ""
~ ,:\ Base Inspections: / If 0 'v 0 # Charged Re-
0pper Footinv Lower Footing Under Slab ..-/ ~ 0 ReViews
G ~ Cert, of Occupancy: 0 ,.....) t 103. D 0
Rough 1';\ Meter Base Final S~
'/ / if<i?9 ' ~ 3~;ltI1~
- () /'
Reviewe fA roved: Dept. of Community Services
S:Petmits/form / PRESIDENTIAL