HomeMy WebLinkAbout06030159 Application
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City of Carmel/Clay Township ~Permit #:Q(P 03/!J f51
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of M
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME OF UTILITY EXCA ATION CTOR; PLAN COMMISSION / BZA / BPW DOCKEr
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMIi;/; ,
.lSk-TOWN HOMEm\OuJl n
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
PHONE
676-J3&:J
o
FAX
CITY
--
FAX
STATE
ZIP
SECTION
~
03~
ZONING:
SQUARE
FODTAGE:()673
~
Plumber's Indiana State License #:
C-P / rXX.X)) () I
.
~:hn:mbing codes will be applied to the construction:
mational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(MUlti-Family Construction Code)
PROJECT INFORMATION:
Early Release 13 Manufactured /\
Permit: Y Trusses: --WJ_N
- - ,r-;:l 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y N Sump Pump: _ Y ----iJV ~ S[AB 0 BASEMENT
Does any part ofthe property lie within a special Flood designation area: _Y (;) WALKOUT:_Y~
For Single a.niiiyiin 'T { . . llOtNts, and/or accessory structures, this permit is valid only if construction commences
within 1 ld\ljrS'oi tke dBtErcifJi~WltlleauiftiMU~rJ81d must be completed (Certificate of Occupancy.issued)~witbJ.~onths of the
issuance date. Class I €(rQS~p~~~~she General,Ad.ministrative Ru~es of the Stat~ of Indiaria;(~ee 6?5'I~G...~2)~reg~~~e~~a~~n
DEP.l- 0>= rn"n '111 ,IIT,9,pe;rr.~9ifq~nnmgand completmgconstrucuon. , i Ii }:..:'_ ':. :c_,o_.I, .' ~ - :' ,
I, the unders1:S!!t;.a~tI: J!t:t:@-j .ciM.~t:ft{tff~rt, iec~~~~hi~ement, relocation, or alteratIOn of a structu~, '~sany change m the use of land or 11 J 1:
slrUctutesGli-.e1tetl.!ly ~05ID ~~ Vfi(!)'i"\f<N~o, all applicable laws of the State of Indiana: and the 'ZonIng Ordinance of Carmcl I II
Indiana -1993" (2;289) and amen~~i1Rted under authoritY oH.c 36;7 et seq, General Assembly of the Stat~:df~4iana..~Ac~an;l.~tory': I I': j
thereto. I further certify that on1y'I&lCti'bt'f,~m, and floor drams are connected to the sanitary sewer I further ce~ ~hat th~at~ctfbn,.will.not ~ .
used',r occupied until a Certi/1cate of Occ. upancy has been issued' the Depanmenr of Communiry Services; Carmel, Indiana. .
~ J~~-1'U)z.n-{ l Qn ' L_,_.,-
Signature of Owner or Authorized Agent P mt
FOUNDATION TYPE: (Check all that apply for the new
construction area)
OFFICEUSEONLY:************************************************************************
& Filing Fees: ~3 ~ w 3~
INSPECTIONS REQUIRED: "ifl. I'..'f ~I
. \. OJ.$, Base Inspections: (Q /, ~ # Charged Re-
(Upper Footin!!) Lower Footing Under Slab I 5/ 6 . Reviews
Cert. of Occupancy: _ .
~OU'9h.0 CE.eter ~ Final L 7-..' ( l> 00
P.R.LF.: _ ~
~OTAL: 1f,~ d. I d.: 3D
~ ,{If)AA-.~-4-' I- A l( ~,
Fee Received b t-f I i I (J1 {p
(:,("'" HI~ 3-151-61"
~ Reviewed/Appro~: Dept. of Community Services (Date)
.. ""'~_",fFonnS/ILP RESIDENTIAL
Additional Fees