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City of Carmell Clay Township Permit #:Ob 0 I 0 J 53
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PHONE
FAX
C6~ 8'7
STATE
'}v
IlJh
STREET ADDRESS
/; M~HV Sl,
CITY
~Mtv
ZIP
WI
PROPERTY
OWNER:
NAME
~E.MI\...Y '?t.t:tz....
BEST METHOD 0 CONTACT:
~7 R~;;z.
PHONE FAX
- 57'1- ,'3'1-00 D
LOCATION
&. PROJECT
INFO:
CITY
ST
STATE
IJI),
ZIP
tfl.e, LJ
lDT#
~7
SECTION
ZONING:
5-'
~"",-
ADDRESS OF CONSTRUCTION
_ "303 S\E.fPLf. CH
SQUARE
FOOTAGE: 'iSD 0
ESTIMATEO COST OF CONSTRUCTIOW.
(EXClUDING LAND VALUE) f{ C / D
"'.. OC .
LDC>Ji,'~ t:.);tAv 'fV~,
PLUMBING CONTRACTOR:
S}"Ah.AilJ IA,H" C f' ~ I 0 ~ lJ 4 )9
Plumber's Indiana State License #:
Early Release Manufactured
Permit: _Y..1LN Trusses:
Lot Split: _Y $N Sump Pump:
Does any part of the property lie within a spec"
_Y~N
XY_N
Which plumbing codes will be applied to the construction:
(ll) Intemational Residential Code w /Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o SLAB
o POST & BEAM
IX BASEMENT
WALKOUT: Y 1-N
For Single Family and Two Family dwellings, additionsSOOjl9cJs,t'!Jl<ll~W'W1ffp_' dlll1JIIihin~d only if construction commences
within 180 days of the date of issuance of the building penmt, an .b e .. e groccupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General iam~~~~ h' %flndiana (See 675 lAC 12) regarding expiration
timeframeOlili?eghQij GOMMddlll!~tSeawICES
I, the undersigned, agree that any construction, recons~.nRIii!' r ~~tJD-y change in the use of land or
structures requested by this application will comply with, ana. conform to, allapp s 0 t~~ StLtY"o'f'MdMfa~M1d the "Zoning Ordinance of Carmel
Indiana -1993" (Z,289) and amendments, adopted under authority of J.C 36-7 et sembly of the State of Indiana, and all Acts amendatory
to. I funher certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used 0 cupied until a Certificate of Occupancy has been issued by the Depanment of Community Services, Carmel, Indiana.
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tl1\I)ID W~~
Print
1- ?1'-O(p
Date
OFFICE USE ONLY: ***** *** ************* *** ********** *** ******** ***;\')~?******* ********** ***
Filing Fees: / / ~()O
INSPECTIONS REQUIRED: " . -/
~ ~ ~ Base Inspections: "~ (:) l. ..J ~7 # Charged Re-
~er Footin ower Footing Under Slab . _/ /oj ReVlews
- . - Cert. of Occupancy: ::, - J L
Rough In Meter B se c:::al ~ P.R.I.F.: ,/ ,.) (;,1 Additional Fees
Reviewed/Appro ed: Dept. of Community Services
S:PermIts/Forms/ILP DENTlAL