HomeMy WebLinkAbout06030201 Application
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City of Carmel/Clay Township Permit #Db03b;;Jbl.
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
BUILDER of
RECORD:
NAME
FAX
'N.:2-
-:)(,,}"
ZIP c-7\
~J-
STREET ADDRESS
STATE
11
BUILDER'S EMAIL ADDRESS
l
BEST METHOD OF CONTACT:
k. lofV\
PROPERTY
OWNER:
NAME r
J ( tnIL
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
TYPE
LOCATION
lk PROJECT
INFO:
LOT #-::2
71:)
SECTION
'fi 7~
SEWER UTILITY
PROVID. ...',....
^.jt.i:1J.f;~'
~
o
lfEMENT:
RU URE
M ADD ION(S)
PORC DmON(S)
ODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION: /-fiil) p~
Early Release Man~ed *-
Permit: _Y -A--N Trusses: ..!..LJ ;tlI N
Lot Split: _Y 7<-N Sump Pump: LY~N
Does any part of the property lie within a special Flood de
o
Which plumbing codes will be applied to the construction:
~ Inte-mational Residential Code wI Indiana Amend
o
~
_YAN
For Single #a\\;~Jy~nJ'9&o ~~1,Y we hnk. acfdIA<2..ns: !it;.IVf, e s, and/or accessory struct1;1res, this pernIi,J,s vl}Jid only if construction commences
within 180\l,,*G#:tHe dfRlf6Pl~~& i!WHle'l~llilffifi8'~R,'1t%d must be completed (Certificate OfO~f!JJir/iM~!~'n 18 months of the
issuance date. Class T ~fl.,.t(lbl."'DCan~oIafhe General Administrative Rules of the State OIan . - """.. f'4fleiI1S'El)fration
C MMUNITV"5ERvI Sinning and compIetingconmuction. .. ~
T, the underso-~fIrQgaF1gt~mstI1J~~' A.~9~Pi~I~~gqnent, relocanon, or alteratIOn of a st. flPiEI~f land or
structures G:i~e~lG~~b.~lfwlt\.l~htto, all applicable laws of the State of Ind4na, arM: t . nee 0.' __ me!
Indiana - 1993~ (Z~ 289) and amenciNAf,.amed under authority of LC. 36-7 et seq, General Assembly of thf&9ff 6f1p~,..apd.3-l Acts amen4a '
thereto. I further certify that only (melien, bath,'and floor drains are connected to the sanitary sewer. I further ceiti{yAhWtf.~I/ttriltf.ff wi4'" be
used or occupied until a Cercifi ate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. -:1"'';
{J/Mdt, TAt7J.fr;i, 1~3/f7..<f (Cia
Sign ure of Ow Print ( Date
o
Jif
POST & BEAM
BASEMENT. X
WALKOUT:_Y~N
Under Slab
Base Inspections:
Cert. of Occupancy:
Site
P.R.I.F.:
,
C....A ~ /--(L~ 3-3i-06
Reviewed/Approv : Oept. of Community Services (Date)
S:Permits/FOfmS/ILP RESIDENTIAL