HomeMy WebLinkAbout06020115 Application
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City of Carmell Clay Township Permit #OIiJ:{O / ) S
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
PHONE
IV6- 2/62.
FM g '1/_
zzy
PROPERTY
OWNER:
NAME
PHONE
FM
STREET ADDRESS
STREET ADDRESS
01Y
STATE
ZIP
ell<- {J 0
SECTION
I
ZONING: 1
/-4-..
SQUARE ?z ~ /
FOOTAGE: / f ~
LOCATION
& PROJECT
INFO:
LOT# V2-.
ADDRESS OF CONSTRUCTION } (2?
SUBDMSION NAME
SEWER UTIlITY
PROVIDER:
ESTIMATED COST OF CONSTRUcnON: /'fJ / ' Q
(EXCLUDING LAND VALUE) / .f/ 1/ (II iJ. -
4t= ObO~//3
/(fq,c
PLUM~NG CONTRACTOR: ... "f): '%. ~'\.
E~// (/?>'~ ""if .~
Plumber's Indiana State icense #: 0 4. 'ta~.:-<1
(.O)-7() r ~~~"
Which plumbing codes will be applied to the construction: ~
Cll..-rntemational Residential Code w/Indiana Amendments
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND(,!R SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUc:!IClN:,., '"J \:;;;';:i.jP~~F IMPROVEMENT:
en ,5 ". 'c'.>, I.~ 1\1 \11
......-- INGL.V~~I,LY'; \.:.~' / SR--\NEW STRUCTURE
o TqWN.~<?~E5;'>'-'" 0:0 CsJ\ ROOM ADDmON(5)
o TW()'FA~!LY :, 1\\J d\::':pQ~H ADDmON(5)
# of~~I\5: . '0 '1.. 0\ REM~DEL
o MULTI,F;At1,I~Y \'C- ~ 0 AC€E550RY BUILDING
# of U~lts:. \ ~ Ga---DETACHED GARAGE
o RE5IDE~VAL\(Eor/ ~ 0 ATTACHED GARAGE
Additions, Remodels, Etc,) 0 DEMOLmON
I //
PROJECT INFORMATION:
Early Release
Permit:
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
Manufactured FOUNDATION TYPE:
_Y L/N Trusses: ....-( _N construction area)
CYtRAWLSPACE
Lot Split: _Y VN Sump Pump: 0 _N D-sCAB
Does any part of the property lie within a special Flood designation area: _ Y c-n-
(Check all that apply for the new
o POST & BEAM
Q..-I(ASEM ENT
WALKOUT:_ Y c:...---N
For Single Family and i~(j:Eairtll),;'a~~u&aiG.d;M)l-<<ibl~Gr~essory structures, this permit is valid only if construction commences
within 180 days of the.,:,d.!t~.9t~aI~s~.C?{~~;,~~g~.!~d~1M~i~mpleted (Certificate of Occupancy issued) within 18 months of the
issuance date. Class 1 structUre permits are subj~t ,odAe Gene[alA~ministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
\,.;, ..::1.<:-:.....:: 'tim~ f'fatil,g~ fatt!..~Rning and completing construction.
h _t;;~-"....- .......,.- '~""\r.Rjl,{:.1 ~_u.:J:-~' (~~I:l\!it....t"L'"
I, t e undersigned, agree ma:nmyiconsrruCtioD~,reconsuuuuun, em~t:ment,A:elQQation, or alteration of a strUcrure, or any change in the use of land or
structures requested by ei':1"l1Pl(<:~tion-YPH--'iWply ~1!l~w~<<wlJl:I:lhle laws of tbe State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z;289) and amen~wtS, aaOp\ti~.~d~t.aJ:1~hOrtty oltC. j6~reE seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, iUiatldOl't!8ins 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 the Department of Community Services, Carmel, Indiana.
~~ C.RdCC 2 -2/-(}(j
Print~ Date
OFFICE USE ONLY: ** * ***** * ** *** * ** ****** * ** ** ******** ** * * ** *** * ~"'** f? ******** *** ** *** ***
Filing Fees: '/OLb(J
INSPE ED: _ ) ,I 7. -/'0' # Charged R..
Base Inspections: ~ (7 _ L
Upper Footing _~~ /, <' () ReVlews
Cert. of Occupancy: .:>--'
Meter Base
~-
c.ltoLO''l; ft~ 7.-~U-'06
Reviewed/Appr ed: Dept. of Community Services (Date)
S:PermltstFormS/ILP RESIDENTIAL
P.R.I.F.: J.;). {. / () 0 Additional Fees
c'____ ~O~A~ $ ./D?PAj (, ()
7/(/--?Cd~ ......
Fee"Received by: v
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