HomeMy WebLinkAbout06020065-Application
City of Carmel/Clay Township vL\J\ Permit #06tJ~{)a6~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
A i<-If\lDtJ 0eM.~~
STREET ADDRESS ?2!> 0 IV. (, f) /)
tJc.
PHONE FAX
kl 3'3(.,- foO~ ";,,11" 8003
CITY STATE
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z
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NAME
BUILDER'S EMAIl ADDRESS
car _rY]c,/;1
BEST METHOD OF CONTACT:
re ~"..,s", LON! ~'7 s-s-' S-&'," CA.-/I
PROPERTY NAME PHONE FAX
OWNER: A- ~Sftr,J 3/7 S82-ofrtll/ #//r
STREET ADDRESS CITY STATE Z
ti'c... 'AI ~t733
LOCATION SECTION ZONING: ,S 5- I
& PROJECT
INFO: SQUARE 13, SOS-
U{.. PtA-C fOOTAGE: / 'I, '1!ff)-
SEWER umlITY J WATER UTILITY d-lt ESTIMATED COST OF CONSTRUcnON:
PROVIDER: ~f01 tc- 'f, I, PROVIDER: ~ k /.lTd (EXCLUDING lAND VALUE) 0 CO
o
STRUCTURE
ADDITION(S)
H ADDITION(S)
EL
CCE ORY BUILDING
D ED GARAG E
TTACHED GARAGE
DEMOLITION
~f "&4" f'/t.. =It" OhO ~OOb
PLUMBING CONTRACTOR:
-LJ<-:>M ,71+
Plumber's Indiana State License #:
Ie /~C(CJolz-B
o
Which plumbing codes will be applied to the construction:
~ntemational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
P
INF
Early Release / Manufactured / FOUNDATION TYPE:
Permit: Y t" N Trusses: Y t/ N construction area)
. - / . / - 0 CRAWLSPACE
Lot Split: _Y...lL..N Sump Pump: -\l--Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: /Y _N
(Check all that apply for the new
o POST & BEAM
~ BASEMENT /
WAlKOur:L Y_N
For. Si?gle Family and Two Fa~ily dwellings, ad~iti?n~~f~~:?~il~;,~rM;~ JEedSdr. ut~tt~t&,~sL~~i~pep}}ili!s.vali~ only if co.ns~ruction commences
WIthm 180 days of the date of Issuance of the bUlldmg1;JHfht,;,and~nius,titr.):.8.~p~'ttt,4,:(.cC!'1jlfic;.~'t~\1ftj~ncy Issued) WIthm 18 months of the
issuance date. Class I structure permits are sub~ect to the General.6tI.~\~~~F.raSiX~)t;u~~~ft~sta~.rtUtJt>>Jn!;(See 675 lAC 12) regarding expiration
tIme franJ9~~"!l"'IH~ c1~lenng"",hi;o@sn.;on
I, the undersigned, agree that any construction, recons(pw.<J~.. e ~1ar iIhe~klA!~~bJvt ~t~l):.~~~~~hl~s.., or any change in (he use of land or
structures requested by this application \",ill comply wittr,'Arid'Eo . €t9ARMEl?IV la\\t..,>'QfJ:b'e'~ H'flfRrnaita, and the ""Zoning Ordinance of Cannel
Indiana - 19 - 289) and amendments, adopted under authority of LC. 36~7 efa"lJ~ ye~s'leJi-O~VNSM'.Ei Indiana, and all Acts amendatory
thereto. urthe certify that only kitchen, bat and or drains are connected tI~'lflL/b\NA: sewer. I further certIfy that the construction will not be
used occu. d u til a tifl t oroc cy as been issued by the Department of Community Services, Carmel, Indiana.
, p,intt'uu. s: M'-//f/ryrt-t ;;..-0-0(,.
P.R.I.F.:
Additional Fees
c..1f<L~'l H I ~~-'?_- "Z. 2 -06
Reviewed/Appro~ed: Dept. of Community Services (Date)
S;Permits/Forms/ILP RESIDENTIAL Fee