HomeMy WebLinkAbout06030095 Application
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City of Carmel/Clay Township Permit #:660'300"-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
Fg"1-5 C,5
ZIP %D6:1-
#(g,-'
PROPERTY
OWNER:
BUILDER'S EMAIL ADDR~SS
CurfMCv"IS
NAME =~
/<-l ht e..,
&l 0 T J--k\ \. (2.0
BEST METHOD OF CONTACT:
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
TYPE
LOCATION
&. PROJECT
INFO:
LOT #
, (("\ $ Cree. k
SECTION
ZONING:
SQUARE
FOOTAGE:
ESTIMATED COST OF CO
(EXCLUDING LAND VALUE)
70t) (\ccJ.,a-O
t
o
ROVEMENT:
RUCTURE
DITION(S)
PORCH DITION(S)
DEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOUTION
Cv~/i SoA.) 5<2.v1yct,tIVY\
PLUMBING CONTRACTOR: f::Fo60300 '3
IJlrne.t" t K'1c.1~ ""-,
Plumber's Indiana State Liclonse #:
PLC- -it /05 ~'2_ QS.
d2ll
o
o
NAME OF UTILITY EXCAVATION CONTRA
NUMBERS; TAC DATE(S); AND/OR C
.-0
-i,~~
~ V TYPE
Itc~ 'l.\)~
o \ ~ 0
\t-t>-\-
o
Which plumbing codes will be applied to the construction:
W International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
J FOUNDATION TYPE:
Early Release J Manufactured construction area)
Permit: Y N Trusses: Y N
- f / 0 CRAWLSPACE
Lot Split: _ Y ~N Sump Pump: ~Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y ~N
(Check all that apply for the new
o POST & BEAM
t:lT BASEMENT
WALKOUT:-.L Y_N
For Single Famili.arld 4:~-<<3iiiIliJdF~~~tfPl~els, and/or accessory structures, this permit is valid only if construction commences
within 180 day~tJjeg'ttt9'd~f;C of t~'e'et;#~1i\d ~ TJONst be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. CIa"58 I structBr~f.r-iTlirn~jVMcilHefQ'.eOOfSfJBpjWistrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
C, n. ate and Lti0afreooeW""'beginningand completing construction.
I. the underSigned~l~fe\taGiY.. s . ~enla~~:..m, relocatIOn, or alteration of a structure, or any change in [he use of land or
structures requ~t~,mQf~ 'coyt . h, M4W~Btll applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and am~: ,Jlre Ya~l1i~ et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchfNDf~om:W1oor drains ar~ !~fl!~red to the sanitary sewer. I further certify that the construction will not be
used or occu ied until a Certjficate of Occupah~f1as been issued by the Department of Community Services, Carmel, Indiana.
CUr-t Ill/, C,U'r-T5 3/13/fJ<O
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:************************************************************************
Filing Fees: /2 9'0. .30
PECTIONS RE UIRED: ! ?, '7
Base Inspections: J c?< I a (j # Charged Re-
......- ReVIews
Cert. of Occupancy: ~ I f 0
P.R.LF.: I J. b / 00 Additional Fees
~~3. YO
Fee Received by: /
~++-
ReviewedjAppr ved: Dept. of Community Services (Date)
S:Permit5/Forms/ILP ESIDENTlAL