HomeMy WebLinkAbout06040012 Application
City of Carmel/Clay Township . VJ-C,. ~I ~ Permit #06:J'-I!JtJ/d.-
RESIDENTIAL IMPROVEMENT LO~ON PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME M~~K..
RECORD:
STREET ADDRESS Ko
02
BUILDER'S EMAIl ADDRESS
PROPERTY
OWNER: L
STREET ADDRESS
PHONE
7 S--52/ 2/
FAX
STATE
1J
4
BEST METHOD OF CONTACf:
<--
PHONE
3/ 5 '7/- /'/21
FAX
cm
STATE
ZIP
,&
LL
SUBDIVISION NAME--o '
-1AV! .D 1"001(6/,", Y'e-
033
LOCATION
& PROJECT
INFO:
LOT #
North
SECTION
ZONING:
SEWER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTIO
(EXCLUDING LAND VALUE)
5'0
PLUMBING CONTRACTOR: Ca.yl E.
C'l4fJ1r. fit1l(f),;,vG,- 6r.eenwDOcj ~
Plumber's Indiana State License #:
PC~ IOO~3 LL...-fl..J pev Gall 'fz,Ma..#-
ODEL -I- ~ ,_
ACCESSORY BUILDI~ Which plumbing codes will be applied to the construction: L.-f rocR...
DETACHED GARAGERELE~lT(;j\lq~6~l!'!'!IieJ~ndi.n. Amendments
ATTACHED GARAGESUbjSC\-!lil.Ui\lHlilU\ln'6ill9 ailde\Ylllllt~ Amendments
DEMOLITION 01 ::(MU'IH.iih:iIi<.CQ1ll\;1J~i!l~~ode) ",. '..
PR : 71/1;1 DEPT Qf.,~QWt1Ut4't~;S', .
Early Release - Manufactured CITY o~~f4t,at. ply for the new
Permit: Y ~ Trusses: _Y v'N- - .c. OWNSHIP ~~
. - ~ ./r 0 c_W\4A 0 POST & BEAM
LotSpht: _Y N Sump Pump: _Y _N 0 SLAB -ii;J!S{ ~BASEMENT~ f
Does any part of the property lie within a special Flood designation area: ~Y N WALKOLrr:~_N
For Single Family and Two Family dwellings, additions, 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 frames for beginning and completing construction.
I, the undersigned, ag~~e:tlpt any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested bY"diis application ~ll ~,omply with, and conform to, all applicable laws of the State of Indiana, and the UZoning Ordinance of Carmel
Indiana -I993~ (Z~289) . - aUlo itX of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further cert.~. tAcfmected to the sanitary sewer. I further certify that the construction will not be
used or occupied unti,!' M.luthe Department of Community Services, Carmel, Indiana.
MA-Rt:... N-RlX'k fj-L/-Oh
Print
Date
OFFICEUSEONLY:***************************************************~********************
I~ Filing Fees: 133 . 0 0
INSPECTIONS REQUIRED: '11M . / L / ()O
/~ 'Base Inspections: ~_,
~ Lower Footing 1I:)"l- 53 roo
~ .:.J' Cert. of Occupancy: . .:..J ,
Rough In Meter Base Final
P.R.I.F.:
tlJ1k r)jjJj iUi& . 00
Reviewed/Approved: Dept.ofCdmmunityServices (Date) ~~..
S:PermitsjformsjILP RESIDENTIAL Fee Received by:
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