HomeMy WebLinkAbout06020063-Application
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City afCarmel/Clay Township \ Permit #:06IJ -;( ObI:#.
RESIDENTIAL IMPROVEMENT LOCATION RMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME
BUILDER of
RECORD:
PHONE
FAX
i'lY
20F-
:2 F J--
STREET ADDRESS
dO
(cf.-
)f~'L(,
CflY
CIJ//i,
ZIP
l-t2yo
PROPERTY
OWNER:
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT #
I
SEWER UTILflY
PROVIDER:
WATER UTILITY /
PROVIDER: l tL It-;"t C
ZIP
ZONING:
5'
<-trY
(
SQUARE
FOOTAGE:
ESllMATED COST OF CONSTRUCTlON:.&7 _ (J -
(EXCLUDING LAND VALUE) A j- r.J () fJ .. .
NAME OF UTILflY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET /) T
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): (, j'n " 0 if.. '- o6~::<'-
PLUMBING CONTRACTOR: 0,. Jb,::~, :
~ '" I E S,M; /t; "/('4 'tie. ~ b~':f,
Plumb~'s In7diana State License #: "~~j~~
,/ 01 77 "~1~ .,',i"
Which.?'"bing codes will be applied to the construction: f. ~. (~~',:
~nternational Residential Code wi Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
TYPE OF IMPROVEMENT:
0 ~w STRUCTURE
0 ROOM ADDITION(S)
0 0 PORCH ADDITION(S)
0 0 REMODEL
0 ACCESSORY BUILDING
0 0 DETACHED GARAGE
0 ATTACHED GARAGE
0 DEMOLITION
PROJECT INFORMATION:
_ / rA FOUNDATION TYPE: (Check all that apply for the new
Early Release U. Manufactured L,../Construction area)
Permit: _ Y _N Trusses: Y N ~
Lot Split: _ Y v;:; Sump Pump: Jv =N g;:~WLSPACE ~~~M&E~~M
Does any part of the property lie within a special Flood designation are{,lt:LEt"c~R C~li1i5',l;)CTI9~
"t j ~I ~ "'~ ~..
,
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, tll:!1fJ8:!-"!n~ ial,\!,~i~l9l!h'lifmt:ro:~ction commences
within 180 days of the date of issuance of the building permit, and must be completed f';Ema;:~ gf pc,,,uP~'RS)1 ~vedWt~~/~~~ of the
issuance date. Class I structure permits are subject to the General Administrative Rules MthtSbW6f trrtb.J.H~ ~675 L~C'f2fte'g\itd:i'rig9cpiration
timefmmes for beginning and completi>G~~t@jti<\i}j\R M E L / C LAY TOWNSHI P
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structuTN-, ff-WW ~lj1'!Pge in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiarl!,'\MdJ{h~~ning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under aurhority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
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
used or occupied until a Certificate of Occupancy has been issued by Department of Community Services, Carmel, Indiana.
~ c)cc:: '2(')-06
Date
OFFICEUSEONLY:***********************************************11***********************
Filing Fees: a;2t. "ltJ
INSPECTIONS REQUIRED: . .,.., /, '7. ,<'/)
Base Inspections: -L (;:c _ ~ v
~ llDr.~, ~nn'f;;;tr'@.Wef FootIng-=::, Under Slab - _'
Cert, of Occupancy: p) l <)0
P.R.I.F.: I).. hi 60 Additional Fees
~_ TO~I:~: / _ d,c I ;) f (j r '1tJ
. "'-""'. / ~
../ ,/ /- 1/;"...~
/ ~__, f//~L_
-
Signature of Owner or Authorized Agent
ough
eter Base-.::..(:Einal
SI~
Fee Received by:
ReviewedjApprov ept. of Community Services
S:PefmitsjFormsjILP RESI NTIAL
# Charged Re-
Reviews