HomeMy WebLinkAbout06020122 Application
City of Carmel/Clay Township c::.MA. Permit tOb6:{O 1c2...,;;2...
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
BUILDER of NAME
RECORD:
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PHONE lY6 -2'1("L FAA yt-c/zzy
OTY STATE ZIP
5P11fe '-'-'/f//lrr; :Tit/. l/6Lyc.l
BEST METHOO OF CONTACT:
lv-PI ,{ (.,., ::: - /J?'<<'; j
PHONE FAA
~ Manufactured FOUNDATION TYPE: (Check all that apply for the new
Y N Trusses: '--<( N construction area)
Z CYCRAWLSPACE 0 POST & BEAM
Lot Split: Y ~ Sump Pump: Y =N tD..-aAB CIL-BASEMENT ~
Does any part of the property;l,il:'~!~!lie,~ ,~po;..~~Flood designation area: _ Y ~ WALKOUT:_ Y_N
For Single Family and Two Family:;dWenmgs;add.itio~s:r~4odeis~j~b;di6~1Mc~or)(structures. this permit is valid .only if construction commences
within 180 days of the date .of issuance .of the bulidiWg'pJimil, iiiidmusi: De comp'le~~ (Certificate .of Occupancy issued) within IS months .of the
issuance date. Class I structure permits are stbje"'Cefo'theGeheralAdminiitJ:;;ifv~'Rtii~1of the State .of Indiana (See 675 lAC 12) regarding expiration
1_':= ~_r! C't'i.TneffameS'for ~nxiivnd"~ompleting construction.
I, the undersigned, agree that any~~tructi<?n, te~on;;tiU~tiqn~ Mi~enren~trcl~adpn; or. alteration of a structure, or any change in the use of land or
structures requested by this application will comply Wi"ili!'aiid cohf~,tg~,.ill'P.P:B~CJql,e..ia~ oJ the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z- 289) and amendments. adopted undet auFPJ>!it}jo!JC 36-7 et seq.'CeneridfAssembly of the State of Indiana. and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arevc'dnnected to the sanitary sewer. I further certify that the construction will not be
used or occu ied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Pri.oit
OFFICEUSEONLY:************************************************A***********************
Filing Fees: '7!E?-. 70
INSPECTIONS REQUIRED: 1 / '7 -/ Ch d R
___~ _ Base Inspections: c><" l? -"" 0 () # arge e-
Q!pper Footin!l.A.!:ower Footinv Under Slab / ~ rJ Reviews
Cert. of Occupancy: S- - J
€UghI~eferBa~ ~ P.R.I.F.: / ,J b I 00
3
STRE DDRESS
01-)- Q(ftt-fl,
PROPERTY NAME
OWNER:
STREET ADDRESS
LOCATION
llr. PROJECT
INFO:
LOT # 'j7 0 SUBDMSION NAME ~'A h~,.(
ADDRESS OF CONST1\UCTION 1i" U / U
./ 1 6 I '/1 br....
SEWER UTIUTY " ~
PROVIDER: C II (.j P
WATER UTILITY
PROVIOER: Lv. x /"< t' /
NAME OF UTILITY EXCAVATION COmMCTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPlICABLE):
,......-. ~
TYPE OF CONSTRUCTION: /_ ,~-~iYpfoi= IMPROVEMENT:
CSJ--sINGLE FA~ILY'Cf~ ~,>~j ~:~~EW STRUCTURE
o TOI'V~,HPt:1E; (:ce<,;:::-::-:/- 0\\ RdoM ADDmON(S)
o TWO FA~\~Y"/' d\\\p9~CH ADDmON(S)
# of unl~:, ?, ?SJ:Ju 0 \\~QDEL
o MULTIi\~~!L Y ~ t'O 1 Qj ACC~SORY BUILDING
# of U.~I~;\ \ ...-----n DETA' HED GARAGE
o RESIDENT,IAL '(For ___-------- [] A'fr. CHED GARAGE
Addition~(\R~niodeIS, E~ DEMOLITION
PROJECTINFORMA1I8N:
---
Early Release
Permit:
CITY
STATE ZIP
SECTION ZONING: ;(-.2..
I
SQUARE Y077
FOOTAGE:
?t
ESfIMATED cosr OF CONSTRUCTION: _ 0' ~
(EXCLUDING LANO VALUE) 22) ~ r .I,~
PLUMBING CONTRACTOR:
/:r;. y I r;:;- A V
Plumber's Indiana Sta,e License #:
-c1~,., r
/ -
-z '2/-06
Date
Additional Fees
.--: ,Z:g:. c6
(Date)
Cr
Reviewed/Ap oved: Dept. of Community SelVices
S:PerrnIts/FormS/ILP RESIDENTIAl