HomeMy WebLinkAbout06030045 Application
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City of Carmel/Clay Township \}J ~ Permit tCJ(dJ3DOJ./S-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME A
STREET ADDRESS
Jl'SS"e
PHONE
'0
9? .& Sr Sn:?' CITY ..:z:,Vt> !G
OJ
FAX
-~?/
.z!:J
ZIP
~60?t/ro
PROPERTY
OWNER:
~
r.e& t::
BEST METHOD OF CONTACT:
.;?oa--!h9 ~
BUILDER'S EMAIL ADDRESS
PHONE
.<o8'~9
FAX
STREET ADDRESS
CITY
STATE
ZIP
..s &r
LOCATION
& PROJECT
INFO:
SECTION
.:l.
ZONING:
-S/
SQUARE 3337
FOOTAGE, .
WATER UTILITY
PROVIDER:
'>eA1EZ--
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) ,,231 .s-6&
. PLAN COMMISSION / BZA / BPW DOCKET
AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
'# ObtJ3004.3
PLUMBING CONTRACTOR:
" NEW STRUCTURE y:J#~,- e: 5A1?;7?I'
,
0' OOM ADDITION(S) Plumber's Indiana State License #:
PORCH ADDITION(S) 8""/ Z>7 7 7 J
REMODEL
ACCESSORY BU~ING Which plumbing codes will be applied to the construction:
o DETACHED GA!l ytllntemational Residential Code w/lndiana Amendments
~~ACHEDO GA ~c.l;;q.s~O Uniform Plumbing Code wI Indiana Amendments
, MOUT! ~L-. ~ '0 () ~(Multl'Famlly Construction Code)
C},.., '107' 0;' 00*
Early Release Manufactured ' Y O~ ~ O'tqto ON TYPE: (Check all that apply for the new
Permit: _Y LN Trusses: -Y..:;C~,( O~ tIfI/), . ea)
Lot Split: _Y LN Sump Pump: LY ~i)l4,f$('~.~~~ is ~~~M&E~~M
Does any part of the propertY lie within a special Flood desi~' n' " ~",!91,,'~ 101\1 WALKOUT:_Y_N
L
For Single Family and Two Family dwellings, additions, remodels, and/or access strut ..1"',1 ermit IS valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed:(Ct ,'''' upancy Issued) wIthm 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of th 1 5 {ana (See 675 lAC 12) regardmg expiration
time frames for beginning and completing cons't~ci:io ~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
sITUctures 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 -1993" (Z-289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify th only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
use5- r occupied until a rtiflcate of Occupancy has been issued b the Departm t of Community Services, Carmel. Indiana1-. .,....,\ I 1\ ,
~
OFFICEUSEONLY:****************************** **************~*************************
Filing Fees: ':LP,f. '70
_ INSPEcnONS REQUIRED: J /.. /. 00
~ ~ Base Inspections: d.. (2
<--,:,pper Footin~ Lower Footing ~er Slab
- _ Cert. of Occupancy:
~~er~e ~nal ~
c::..~ _ - P.R.I.F.:
_tJ4- WJJJ
# Charged Re.
Reviews
,-5/. 5"0
Reviewed/Approved: Dept. of Community Services
S:PermitsjFormS/ILP RESIDENTIAL
(Oate)
TOTAL:
FeeR~~~~
(v< k,! () () Additional Fees
~~1135. c2 0
fl ~ L o..A.A{
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