HomeMy WebLinkAbout06020056 Application
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City of Carmel/Clay Township Permit #: 0 ~ O;).tJ1J5~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
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ADDRESS OF CONSTRUCTION I . I I
J 3231 /-i}rr~z. f!,'oId,.
WATER UTILITY C ( U J fl' }.
PROVIDER: a./l"J'\(. 1-, I tit)
ESTIMATED cOST'o{coNsTRucTION: f1 :ii/I': : , ,
(EXCLUDING'0NOiV,ALuEl'::::::',': ,:c'Y1.'~w'?/I), 0" 0,.
"1 It. I'
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET I; l.." ~ ! J 1! ili
NUMBERS; TAC DATE(S); AND(OR COUNTY WELL AND(OR SEPTIC PERMIT #'S (IF APPLICABLE): i I fll ! F EB II! ! i
TYPE, OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONt'RA~ ~ L':!/ I
". SINGLE FAMILY 0 NEW STRUCTURE I ~J --.-- i
10 TOWN HOME 0 ROOM ADDITION(S) Plumber's Indi'lna-State-I:icense-#:-- j
o TWO FAMILY 0 PORCH ADDITION(S)
# of units: . REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
PROJECT INFORMATION:
Early Release /' Manufactured /
Permit: Y VN Trusses: Y v N
. - %' -x-- 0 CRAWLSPACE
LotSpht: _Y _N Sump Pump: _Y _N 0 SLAB v<:
Does any part of t r~l!IeM!lfli~T.IilI;l~1iI~gnation area: _ Y _N
For Single Family~n~iAf/yqrvm\l,J~~~ dj~iJW~ 1 6t.rg,~els, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of~~<1(,ttlt bSll"'dth >{~fln~ be completed (Certificate of Occupancy issued) within 18 months of the
issuance date, Class I t5Eprf' 6fln(!}@JMMktNl:; e GdRthY .I*rf~hlstrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
I. the undersigned agGl~ Qfc~!1Mr;:~'To~~~~~~o~~~~D$~Lt~J~\'~~'~theUseoflandor
structures requested by thls applicatIon will tN9\AJhl~nd conform to, all applic~~gJ1~Y~I~I~~~ Ordinance of Carmel
Indiana -1993" (Z~ 289) and ame e ts, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I h cer' y tha 0 hen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used led t' eofOccupancyhas been issued by th Dep'artmc to fommunity Services, Carmel, Indiana.
elL, ~ l/~ 2-/()-d,
Print Date
BUILDER of
RECORD:
d ~~
STREET ADDRESS J3 J I
ZYI '-ere z I3L.
BUILDER'S EMAIl ADDRESS I.
Olo - (M,
PROPERTY
OWNER:
NAME Kt: ,'~
LOCATION
llr. PROJECT
INFO:
STREET ADDRESS
/323q
LOH 2 7
SEWER UTIlITY
PROVIDER:
C 1"RLJD
PHONE 3/7-8'13-3()1t
CITY [J..f /,;jJ
FAX
BEST METHOD OF CONTACT:
ZIP ihO 74
LI J S7J-3c'f{
nome ph."
STAT#
PHONE
3J7-f/73-30,It
FAX
STATE
::L;j/
ZIP 'I <<J7L{
ZONING: S - l
SQUARE a
FOOTAGE: '{ 00
t.{(p 07'1
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
',-
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o POST & BEAM /
. BASEMENT
WALKOUT:_ Y _N '
OFFICE USE ONLY: ************************************************** ***.?1~**************
Filing Fees: a j.. '/ J
INSPECTIONS REQUIRED: ~
Base Inspections: 0 '7- 00 # Charged Re-
. ReVIews
Cert. of Occupancy: <' /- ,?O
Upper Footing Lower Footing Under Slab
~u9h 10 Meter BaseCc Final -=:Site
Additional Fees
:f' c/ ?;:.~~~
J..~1 -;J,S'
,
') ~ g-: 0-6
(Date)
J <J--.I
Reviewed/Approv d: Dept. of Community Services
S:PermitsjFormS/ILP R IDENT1AL
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