HomeMy WebLinkAbout06020013-Application
City ofCarmeIlClay Township
RESIDENTIAL IMPROVEMENT LOCATIO
Permit #: C)(g,b?ot>13
RMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
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BUILDER'S EMAIl ADDRESS _~"-';BEst METHOD OF CONTACT:
Ch:;lyi%e-@ heo.,...two . e: 'I'Y'\ eMo.i
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re: \'JI I~...::--PHONE
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STATE
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PROPERTY
OWNER:
NAME
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FAX
STREET ADDRESS
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOEj
ZONIN~~ I
SQUARE tA I La' c::..
FOOTAGE:..... ( T V~
SEWER lJTllTTY
PROVIDER: C\tt
NAME OF lmLTIY VATIO ONTRAcrOR; PLAN COMMISSION / BZA / BPW DOCKET C;v ..L
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): V r Ctl. val i YJ
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIOENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING Wh5t' plumbing codes will be applied to the construction:
o DETACHED GARAGERELEM~!T@lilr@~@frjqI!J9iJllONIIndiana Amendments
o ATTACHED GARAGESubjectjp ll~I1O'Iffl1Pru\Miri\l GIld@Wjfitiriln&Amendments
o DEMOLITION of ~fH'lI;;qjlY-OltIStrGiJ!lofeGode):,
PROJECT INFORMATION: DEPT .Qf.,~Rl#U.U'~.:?E;.flVIr.I=~ ,\
Early Release v< Manufactured OITY O~'r6~NR"Bp~ apply for the new
Permit: _Y _N Trusses: _Y _~"')i - -- '0 c~~1!'\ 0 POST&'~EAM
Lot Split: _Y /N Sump Pump: .JL:::y _N 0 SLAB ~ BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y /N WALKOUT:
PLUMBING CONTRACTOR:
D~ S \J',h \ II 0. vY\ '7 Y\ L.LrYI bi ~
Plumber's Indiana State License #:
~ ?O~00002
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 of the building permit. and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (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 will comply with, and conform to, all applicable Jaws of the State of Indiana, and rhe "Zoning Ordinance of Carmel
Indiana - I993~ (Z- 289) and amendments, adopted under authority of f.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendarory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
u . d or occupied until a certifjC~fU ancy has been iSSCt{;; ~_~;;e~~;ty Services, Carmel, Iudiaua. !2- /Z/O(p
Signature of OWner or Authorized Agent Print Date
OFFICE USE ONLY: *********** *** ************.~********** *** *****7j********~J 0************
FIling Fees: , r2,] :::>
INSPECTIONS REQUIRE ' I / --7- ,--"0
Base Inspections: s'7 \Q - (> # Charged Re-
:5) .~.- ReViews
Cert, of Occupancy: J 0
P.R,I.F.: / cl- 6/ {)O . Additional Fees
(--:7/ TOTAL,') _ 1i:.:)f'rJ 3, 50
~r?t0jj(c:~/ '
Site
(Date)
Fee Received bl/: