HomeMy WebLinkAbout05090186 Application
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City of Carmel/Clay Township \}./ - ~ Permit #:05(JQO /glo
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME ~ PHONE ""3%-6664-
RECORD: LU tfJS rc>>J 7J- ~tf7~
STREET AODRESS 8ff>Oks Ill{) ZIP
/;Zs I ~ e-e. 03'3
BUILDER'S EMAIL ADDRESS BEST METHOD OF co ACT:
Wu; ~ MIA) f/ttl !Jtl~r(()~, 00111 E3t?/~1 f>M7N-€.-
PROPERTY NAMW t.sN PHONE FAX
OWNER: {tJS~ 7~ gv.(,-666ttL
STREET ADDRESS ~ PK.W cm STATE ZIP
/ Z.:5/~ i. 91 ~e.. C!.4t&uee-
LOCATION LOT # SUBDMSION NAME ~~
& PROJECT 42-
INFO: ADDRESS OF CONl3UCTION t.~
I'z:3 i (;. w€> ks).. ~~-<<,
SEWER UTILm WATER UTILm F CONSTRU 0
PROVIDER: C1t~el.. PROVIDER: Pr\ll?ltlWiW019ALUE) ot:Jo
NAME OF UTILm EXCAVATION CONTRACTOR; PLAN COMMISSJ(~U cal Codes.
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIffl IT #~~\!!~~ 0
TYPE OF CONSTRUCTION: TYPE OF I ijij . RME.lf.J.D~'f TRACTOR.: ~
o SINGLE FAMILY 0 N~ RE IN'ffi0V\ (1;; 8<2.... Ix.:> rex m I he&
o TOWN HOME 0 ROOM ADDmON(S) Plumber's Indiana State License #:
o TWO FAMILY 0 PORCH ADDmON(S)
# of units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
# of Units: ]i!( DETACHED GARAGE 0 Intemational Residential Code w/Indiana Amendments
~ RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLmO 0 Unifonn Plumbing Code w/lndiana Amendments
1/ (Multi-Family Construction Code)
PROJECT INFORMATION: ! N
i FOUNDATION TYPE: (Check all that apply for the new
Early Release LJJllanufactured construction area)
Permit: Y N ~russes: Y
o CRAWLSPACE 0 POST & BEAM
Lot Split: Y N Sump Pump: Y _N ~ SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y :J,....N WALKOUT:_ Y_N
For Single Family and Two Family dwellings, additions, remodels, and/or a.ccessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS 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.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
struc esred by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
In a -1993 (Z~289) and amendm adopted er authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
th eto. I fu er certify that only kit , bat d floor drains are connected to the sanitary sewer. I further certify that the construction will not be
u ied t' meat Dc panCYhasbeeUissue{J(th~;;~utOfL::~~YServices'CarmeI.Indiana.:s I/o 1c9 (0
Print o"fti I
OFFICEUSEONLY:****** *****************************************************************
Filing Fees: 1".)9. 7:)
SPECTIONS REQUIRED: ' ,
Base Inspections: / ~ n 50 # Charged Re-
Upper Footing Lower Footing Under Slab ' Reviews
~ -----=::- __...., Cert, of Occupancy: ::> I. '50
Rough In Meter Base '-- Final Site_______
P .R.LF.: Additional Fees
tV&[) ~ _~
Reviewed/Approved: Dept. of Community Services (Date)
S:PerrnIts/FormS/ILP RESIDENTIAL