HomeMy WebLinkAbout06020124 Application
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City of Carmel/Clay Township Permit #: OliO 1..01 J.1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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SEWER UTIL WATER UTIL (7 ~ ESTIMATED COST OF CONSTRUCTION: .
PROVIDER: PROVIDER; /;/ {EXCLUDING LAND ff~~~r~; (?:.::, i c::~(1r;r:!.lrq~""
NAME OF UTIUTY EX'o\VATI CONTRAcrOR; PLAN COMMISSION I BZA! BPW DOCKET : i I' I ...._.,-~j -....: ..- . -.:.:l '.1 \;, . '-,'" i'l "
NUMBERS; TAC DAJ;i'(S); AND{OR COUNTY WELL AND{OR SEPTIC PERMIT #'5 (IF APPLICABLE): I i c) r.---=....__._c.......:_..:::c=~111 I: i
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CO NT II , RFEB 2 3 2006 'II Ii!
P't' SINGLE FAMILY 0 L I U j I
NEW STRUCTURE C I
o TOWN HOME 0 ROOM ADDITION(S) I
o TWO FAMILY 0
# of units: _ PORCH ADDITION(S) J
""":'( REMODEL
o MULTI.FAMILY 0 ACCESSORY BUILDING . I be applied to the construction:
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
o CRAWLSPACE g.
o SLAB ~
Does any part of the prllllertY1i.l! within a special Flood designation area: _ Y _N
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. ,.~,,-,~~. '~,',,-,'J . \ '''-1 1...,.......'...,;; '" . ...(, ... '. I....;';
For, Si?gle Family and T~Ji!m~ 'l~eBm~~.t~p.i~!g.nsi.f~f~~~~t~,~~~~/~~~~~~SOry structur~s: this permit is vali~ only if c~ns~ruction commences
WIthIn 180 days of the date onssuanfe_.,otpl~ l:fundlI'Ig"Pe~mlt;ana'1'(lJlstJ:~roompleted (CertIfIcate of Occupancy Issued) WIthm 18 months of the
issuance date. Class I structure..,pernfi'rs ai-ts~bjooiHtb~he:Gent;:tgl:'~P:J1linistrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
DEr'T OF CC~M'CP.'{!f'>\tb~i' }}i,lZ'~l"J'pleting construction.
I, the undersigned, agre~ ffW~XiHCJ\i9Z\i~~stl}lc.q~mll.~pJ';rl ~IYt~idfih4l\on, or alteration of a structure, or any change in the use of land or
structures requested by thls'app~icit6Jm Mnt€"rK'tAfWidi., t.;4Ar\for ~ laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~28~) and amend~ents, adoptetNfCUAN~rity of LC. 36-7 et seq, Ge~eral AsseHER. !JR~' ~tory
thereto. I further certI that only kitchen, bath, ~~drro~r ct;illns are connected to the samtary sew I h ,t t st ,;,. ,Ul:,not be
usedor~edunt' a Cercificace of Occupancy has been issued by the Department of Com m y i, , . _ ~
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Signature of OWner or Authorized Agent Date
OFFICEUSEONLY:********** ***~**~****** **********************************************
(!,- 'J!J Filing Fees: /2:9. '7 j.../
INSPECTIONS REQ IRED: <TT_ I r
.' Base Inspections: / CJ 7- 0 Q # Charged Re-
Upper Footing Lower Footing lab Reviews
Cert. of Occupancy: 5-/ .:> 0
iR.;'';9h I,;-JMeter BasC_ Fi::.1 V
\.:.: ~ _ P,R.I.F.:
BUILDER of
RECORD:
NAME
P"
501-<v/ft.o,t,Q Lu:.
STREET ADDRESS
{z.. 9 I H"/!fIffCI1+71e>1I/€:- j)f...
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
STREET ~D7~ 9
LOT #
z,s
PROJECT INFORMATION:
Early Release
Permit:
Manufactured
Trusses:
Lot Split:
_Y_N
_Y_N
Sump Pump:
_Y_N
.Ly N
c.
Fee Received by:
PHONE
- ,::>08.]...i{7?
FAX 0_
7;0, '577. OG'70
fl;~7 Sf:;!
BEST METHOD OF CONTACT:
Or! -.;2 9:
ZIP
Ybo'77
PHONE
7-?7./O'(7
cm
we'1 rn 6...iJ
FAX
~IJ
ZIP
I.{ be> t.f 7
SECTION
ZONING: /
s-
SQUARE
FOOTAGE' (l jrJ
n
"
i rm Plumbing Code wjlndiana Amendments
ulti-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
POST & BEAM
BASEMENT
WALKOUT:_Y _N
Additional Fees
" TOTAL:"/ T,;;?-J/7, ;<'..5-
(~. :;:-~~,.. /0)' / / /7
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