HomeMy WebLinkAbout06020070 Application
City of Carmel/Clay Township uJ'~(,.", \W Permit #:D~O ~CX'J7D
RESIDENTIAL IMPROVEMENT LOCA~N PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
o.
:>71-(,'\01
ZIP
410 ~o
PROPERTY
OWNER:
BUILDER'S EMAIl ADDRESS
S", ,+ >-ry~;,(.;u sh t.
NAME (l
I dJ l \""n,.,,(rJ
STREET ADDRESS
., ~rtr J
b<;1.l1e\
LOCATION
&. PROJECT
INFO:
SUBDIVISION NAME
Sr Q.r.e.~l.
SEWER UTILITY
PROVIDER:
S'7Q-(,,300
CITY STATE
"""L->o I S -!..r..J
BEST METHOD OF CONTACT:
PHONE
'i43 - ~3?;)-
FAX
STATE
ZIP
SECTION
.s
ZONING 5 J-
SQUARE '1//
FOOTAGE: c>''TLJ
PLUMBING CONTRACTOR:
\ll"l~ber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o Intema~1 Residential Code wI Indiana Amendments
o Uniform ~~~Ode w/Indiana Amendments
(Multl-Famll~ n Code)
FOUNDATION TV .~dle~k all that apply for the new
Early Release anu a U construction area) ., ~~
Permi . _Yy' .. ~N&I Trusses: - Y _N --e- LSPACE 0 11 ~ BEAM
Lot Sump Pump: _y./ N )2S{ SLAB- '-riA- 0 BA 6M00'f
oes any part of the property lie within a special Flood designation area: Y WAL~ Y N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit j, alid ~nly if construction commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of 0 ancy issued) within 18 months of the
iss ate. Class I structure permits are subject to the General Administrative Rules of the St, ndiana (See 675 lAC 12) regarding expiration
nstruction,
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 laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -199r (Z~289) and amendments, adopted under authority of l.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify t t only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or oceu . d a crei{jcaec of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
~ rYl.JI.-<) s: :-1,4 '2-/<I-Ot,
Authorized Agent Print Date
OFFICEUSEONLY:********************************************~***************************
Filing Fees: /-57,50
I PECTIONS REQUIRED: / / f}. e-{2 # Charged Re-
Base Inspections: / (!!, ..;> _
Upper Footing Lower Footing Under Slab ' &;" I , ~O ReViews
Cert. of Occupancy: Q.. _ Q
~ughI::0 MeterBase ~I !'iit0 P.R.I.F.:
WJL 1M
Reviewed/Approved: Dept. of Community Services
S;PermitsfFormsfILP RESIDEtmAL
(Date)
Fee
Additional Fees
(!9TAL:J. #3foQ,65
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