HomeMy WebLinkAbout06010128-Application
City of Carmel/Clay Township Permit ,Ob/) 10 /:l. R'
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
ESTIMATED COSnlfeoMS"fR~-'-", ....._._~
(EXCLUDING LA"ir Li~ ~ r~:Y/1i '(!.p R!.~ 4foi
1 Iii
I II
I t
w
o NEW STRUCTURE
o ROOM ADDITION(S)
ef PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
o DETACHED GARAGE 0 International Residential Code w/Indiana Amendments
o ATIACHED GARAGE 0 u~4AmA!TJJAUJ\..lents
o DEMOLITION (~~aW'Dm-<ldiiVl~~
PROJECT INFORMATlON/, . ~
FOUNDATION TYPE (Check all that apply for the new
Early Release Manufactured .:
Permit: _Y":"""""N Trusses: _Y '::::::N .J1'E'~e~~E~~~~ c . ~Em1;rij{!)JM
Lot Split: _Y ~ Sump Pump: _Y ~ sut8ct%~t~~fl~lanc~ Ilt\:'3l'1 !lAllI!:i"l!j~lIls .
Does any part of the property lie within a special Flood designa~!!: "f' ,.~ta,V." ~C:' CO?"WALKOUT:_ Y ~
...., 1 "1
For Single Family and Two Family dwellings, additions, remodels, and/or a~TO(Y@tyqt'i:,~fi~tmf:Ileqnih\S xa1j.cLonly,i P?PNt;Uction commences
within 180 days of the date of issuance of the building permit, and must be completed (cernficateo'tOcCOpiIkly i~Ma 1..\IJf:t-fid11ii' months of the
issuance date. Class I structure permits arc subject to the General Administrative Rules of the StabNDiM.MA(See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application \",ill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and a endments, adopted under authority of LC. 36~7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. Iter . y t t Y kitc n, ath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupie ril a e j .cate 0 upa~c!( ~s been issued b the Departm~nt of Community Services. Carmel. Indiana. I
i/ f.- _ -1'1-- - _ l 0 l t<.. /1 z. r /,,10
/// Print Date
./
********~~*** **************~*~***~* ****************
j../ 10 'Filing es: ) ./
I) se Inspections: / /0 \ 0
er Slab I if . .
Cert. of Occupancy: s-/ )' 0
BUILDER of
RECORD:
NAME
~ R. !SJ \C-t~
STREET ADDRE
9\.1 'S t, LJ,5,
cm'
STATE
frcJ c:5"" T,....,
b
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
..,,",,,~,,,.
PROPERTY
OWNER:
NA~
JLO -e(l.. + \J..A~
STREET ADDRESS
Lt 0'2 IS'
PHONE
S87- d71S-
fY'lLl( R..
Cm'
Sou~wouP L,1, (A/VUeL
STATE
Tt0
LOCATION
&. PROJECT
INFO:
LOT #
,+0
SUBDIVISION NAME
SECTION
2-
ADDRESS OF CONSTRUCTION
L/ D2.-E
SEWER UTILm' /l j)
PROVIDER: Cd L---c. 1/ .
!PailD
U,Jj;
NAME OF lJTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND{OR COUNTY WELL AND{OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
er SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
PLUMBING CO
Plumber's India
OFFICE USE ONLY: ***************
INSPECTIONS REQUIRED:
C Upper Footi'fV Lower Footing Un
Meter Base Cflnal~
Si~
P.R.i.F.:
FAX
7
-I.lzb
ZIP
ZIP
bo
Z?"ING: (' _
<~~:>, ~trA. L-
SQUARE
FOOTAGE:
# Charged Re.
Reviews
Additional Fees
3(3. ? l'
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