HomeMy WebLinkAbout06020097 Application
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City of Carmel! Clay Township 0.lP ~ Permit #OfoO ~ 00 9 '1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME I
AMtl\u't...
tollh-r N c.;," oN
U),
FAX
;'11- '12..'1- "1~fO
STREET ADDRESS ..,..'
:::$ t:. 7-v~~T.
;1
BEST METHOD OF CONTACT:
tt-l\, 3i1- '101- 1~~O
ZIP
'-tVl- 0'2..
BUILDER'S EMAlL ADDRESS
L.:r fp').>t Al UllI\td. +-
PROPERTY
OWNER:
, 5>1R"1\'\
PHONE
311' ~~1- 7"0
CITY
CA-~r\'\~l.-
FAX
STATE
J:.rJ
ZIP
1/-V<J '3 L.
ZONING:
LOCATION
& PROJECT
INFO:
SECTION
eLlla sve.
cA-A:r11~L. U'
SQUARE
FOOTAGE: q
IV frTff. (0.
ESTlMATED COST OF CONSTRUCTION;
(EXCLUDING LAND VALUE) 1 t1 O~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANO/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION: \ TYPE OF IMPROVEMENT:
o SINGLE FAMILY tAQP k:J NEW STRUCTURE
o TOWN HOME . J O\~IL]&l ROOM ADDmON(S)
o TWO FAMILY \ ~ 0 PORCH ADDmON(S)
# of units: () \\ 0 REMODEL
o MULTI-FAMILY '1 '/. /" 0 ACCESSORY BUILDING
# of Units: / 0 DETACHED GARAGE
J8f RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLmON
,".
~..~_. ", n'.- , ., ..,
Which PIUmbi~g codes ~i11 be ,~~~I~.~~. ~-,f~~:~~.~~~.i~__ ',~ _ .;~\ \\ '.. \. \
,Oil" International ResldentiaICOde.w/Indlana Amendments\ \ \ \
j \I r- \ \ \ \ \\
o Unifonn Plumbing eocie,'w'l,'Il'diana AmendTe~~6 ';',! i\
(Multl-Famiiy Construction eode)\ r E Ill? LU \ \ Uj .
PROJECT INFORMATION: \ i \ 'II .\ ~- \
Early Release V Manufactured . FOUNDA ~e!~~Plv.forthe-ilew _J
Permit: _Y ~N Trusses: _Y _EAS~ ...."''''M~lt all regUl/l.\IOn, .-_..._....-...-.-
. v do ohiect to r_'\CI\1\WDPA odes [] POST &,BEAM-"-
LotSpht: _Y,LLN Sump Pump: _Y~"" of ~eS!\l.Il Loca 'V\CMEMENT
Does any part of the property lie within a special Flood . f<0EilMMU~\ ER S'M\IXOur:_YK.-N
For Single Family and Two Family dwellings, additions. remodels, efF'(aEMSs ures thi~ Rermit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (~8tta6fOccupancy 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.
T, 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 - 1991" (Z~ 289) and amendments, adopted under authority of LC. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify,' that only kitchen. hath, and floor drains are connected to the sanitary sewer. I funher certify.. t the construction will not be
u ~r occupJd u!ltil a Certificate of Occupancy has been issued by the Department of Community Se ., .. I Indiana.
'IL W5-) )lSff f;.:,1k4w'I> . 1.- 2.7--0(;
Sig of Owner or Authorize Agent Print ~ Date
PLUMBING CONTRACTOR:
1:1"1\11.-1'\1 ., $(}J5 ;;:',]C.
Plumber's Indiana State License #:
CPIO.:lOOiOl
Reviewed/Approved: Dept. of Community Services
S:PermIts/Fonns/ILP RESIDENTIAl
(Oate)
*******',~****~*****************
17//' (, ~
spections: / c; O. ?G? # Charged Re'
I Reviews
Cert. of Occupancy: 5/ )'C
P.RJ,F,:/ Additional Fees
C /{.}~JAL: /.7 /36-02.. C0
~~Z~0~%~'
Fee!'Received by:
OFFICE USE ONLY: ******************************
FiU
INSPECTIONS REQUIRED:
~;r FOO~ Lower Footing Under Slab
0oiijjli~ Meter Base Final Site
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