HomeMy WebLinkAbout06030207 Application
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City of Carmel/Clay Township UJC ~ permit#()fo030dlff
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME, '-..... PHONE
-...Joe 4- Ch-r\~~~vY:,J ~ C:l.1-SA~
FAX
'3\1 'DI
~42>
STREET ADDRESS
\ ':?9.:lo(7-.
In
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
C-~\~rc.~v..loJd@c=--csc,-=.~ :Vrcre-~\ "\ lie ~-d.od-t
NAME 'UCc <i...(t\\'\~~\.v~~c\PHONE3\1 <t>(J:\ CJCI.oO
CITY
CM(Y1-€\
STATE
ZIP
~"?,
PROPERTY
OWNER:
FAX
on '8\1 d<=\L\3
STREET ADDRESS
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:\,0....\
CITY
CQ,:r~
STATE
\0
ZIP
H;~C;o ":,
LOCATION
& PROJECT
INFO:
LOT # SUBDIVISION NAME
I \ \ C\.e-\'\1 Cc~Gt. t:;e:J\-o:\-~-,:>
SECTION
d-
,+;'"' ~:,'
ADDRESS OF CONSTRUcnON
l'OiSCt'"d- \C\
;::'~oJ. \ Co.mre\
\"
SQUARE
FOOTAGE: I
SEWER UTILffi {l \ ' \I' "" WATER umffi . , . " ,
PROVIDER: LCL\ rY1e. 'ft\ ,en"" PROVIDER: Co.f0" cl \.)rI "'~
ESTIMATED COST OF
(EXCLUDING LAND V
mONo ~.~
I
It
o
-y~.
-y~
o I Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
~
PR
Manufactured
Y...<:::-VTrusses:
Lot Split: _Y -JLN Sump Pump:
Does any part of the property lie within a special Flood designation ar~_ :
FOUNDATION TYPE:
construction area)
at apply for the new
Y N
~, ,.
For Single Family and Two Family dwellings. additions, remodels, . ccessor .,., ; -"-', ~ if construction commences
within 180 days of the date of '"uance o!the building p<<mit, an<6~J6lJt,W, e . ."'" ~~Cy issued) within 18 months of the
issuance date. Class I structure permits are subject (0 the General Administraot~\@, f\ ~f, _ foes lAC 12) regarding expiration
time frames for begin~~'0l'I'6@lMMbhl,.LIiM: .
1, the undersigned, agree that any construction, reconstruction, enlargeMftt re 0 (. ti a .,.l@W~.hUije in the use of land or
structures requested by this application \vill comply \-vieh, and conforrGW a I%~am~~diana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~289) and amendments, adopted under authority of l.c. 36-7 et seq, GeneratNg~he 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
us occupied until a CITtifiIJ/OCCUR ncyhas been is .ued th(6-Ht~~~>m()1t?~A~d~wdna3 / d- <J /010
Signature of Owner or Authorized Agent Print Da~ I
OFFICEUSEONLY:**************************************************~*********************
Filing Fees: / -+fr'- ./?
SPECTlONS REQUIRED: I ,,,.. .
Base Inspections: / ~ 0 :r'11 # Charged.Re-
/ _ -' /) ReViews
Cert. of Occupancy: 5/ J v
Upper Footing
Lower Footing
Under Slab
Rough In Meter Base Site
;i;L
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits{FOfms{ILP RESIDENTIAL
P,R.I.F.: TOTAL: Ii 3 '1/ I ?ditionai Fees
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