HomeMy WebLinkAbout06030197 Application
City of Carmel/Clay Township ~ permit#:Q{()1J30/?7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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FAX
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BUILDER of
RECORD:
NAME
PROPERTY
OWNER:
STREET ADDRESS
Z'-1::,c, cros:5k'<-lds. c..+.
BUILDER'S EMAIL ADDRESS
+uJo.n -Iu ~her@ 0-0\. LG."0
er:VH__ Se.hO-lJ~(
CITY
COfme.J
STATE
-n.1
ZIP
Lil.tl03L
BEST METHOD OF CONTACT:
~I:;.\€.l:"--l) lQ"l'ir-SiZ'ir
PHONE
317), )"3-'-1757
FAX
5(l....vn.Q.
STREET ADDRESS
Z. '-j 30 C:,"Uss-he.lds (.+,
CITY
C Co/me I
STATE
TJJ
ZIP
'-{U032..
LOCATION
& PROJECT
INFO:
LOT #
Cjf
SUBDIVISIO,N. N~Mt
(.,o:;,shddS &.
SECTION ZONING:
s-\
SEWER UTILITY
PROVIDER:
ADDRESS OF CONSTRUCTJ,?N . /
Zyc,D ("roS$f;c.ld, (--I, , C cArrY/€.
C1~WD
,::r~
SQUARE
FOOTAG
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING lAND VALUE)
tV-A
o
r0
vl\\\
tA\
~1
Which plumbing codes will be applied to the construction: . . I. ",.'~
o International Residential Code wI Indiana Amendmen~ov.)'
D Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
Plumber's Indiana State license #:
PLUMBING CONTRACTOR:
PROJECT INFORMATION:
Early Release
Permit:
Manufactured v:: FOUNDATION TYPE:
T _Y _N construction area)
russes: ~
V / (llJ CRAWLSPACE
Lot Split: _Y _N Sump Pump: .!!L-Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y v"N
_Y /N
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOUT:_Y_N
For Single Family and Two Family dwellings, addition~~ remodels, and/or accessory 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 18 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 fr~mesfor 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
structures requested by this application \',.ill comply '\vith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 199r (Z~ 289) and amendments, adopted under authority of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
use? r occupied until a Certificate of Occupancy has been issued by' the Department of Community Services, Carmel, Indiana.
. . ; e . h~kr 3-29.0&
Signature of Owner r Authorize Date
OFFICE USE ONLY: **************************~*****~**********~~*****ji*******************
NSPECTIONS REQU~ . FOR C6mlfRUCTION ;Z ~ '
ljecllo co lianceB.i.l1lfl- !m;~ns ' / " Of'l # Charged Re-
Upper Footing Lower Footing Und'm~illl~ .nd Lr.,,~1 r.<Vi>> ~ ______;'I ReViews
. l.:ert.llTv'Cc.upan~: d.. / ..J (I
. . .. 'it ,OMMUNITY SERVICE~ I
, <'7 t'1 ",: '{G.;ARMEL I e~TOWNS.HIF'
Jlr' V"\ . INDIAN .
::::n' '. ',' _?>@
ity Services (Date)
. Rough In
Fee Received by:
Additional Fees
Reviewed/
S:Permits/For
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