HomeMy WebLinkAbout06040066 Application
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City of Carmel/Clay Township ~ ~ Permit #: o<to4tJOv(t1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME \tV; I , 'Nr;~""'-'\. t=,ld\ Gorp PHONE \ FAX ~I'\ .'-l~ ~~3.s-
31, "i'-l~ 5">-\"14
RECORD:
STREET ADDRESS d CITY STATE ZIP
>4,., Gr-a Ie Dr'IVe.. CG\r-me I ::1;"(") 4 G ()=-~
BUILDER'S EMAIL ADDRESS vJ ~ \ \ It'\( r; ,,4 b . tJ \ BEST METHOD OF CONTACT: e;;"l t
~~;l'c2.(""'~'",.....il"'+ Val \r>\c,or,.CDf'V) e""'~ll (')I'"
PROPERTY NAME PHONE FAX
OWNER: "";, I """I "h-f e Ic\ 'I Co"p 3\'1\">-\'-1 5... "14 311 \ '1'-1 ~ :l."i3S
STREET ADDRESS CITY STATE ZIP
4"1" 6ra d 1,. Dr',,,,,-- c.~^S""-"",,-1 -:I:"('I '-I (,,0 3d,
LOCATION LOT # SUBDIVISION NAME c.1",,'-j SECTION ZONING:
50S VIII",,,!,,," We3.+ 5003 PL-lD
&. PROJECT I
INFO: ADDRESS OF CONSTRUCTION CC>.J-rnel SQUARE
\:>'9G.G '''--'''''''+'1 L\"e S+rze+ 4(..O3.::l, FOOTAGE: 3"19'&
SEWER UTILITY I WATER UTILITY I ESTIMATED COST OF CONSTRUCTION:
PROVIDER: <::.1"''1'IN p R"-J i:> PROVIDER: ::i:0c1p6 W,,+.e, (EXCLUDING LAND VA~, rr= . .11 <:f h <in -
, \ .. ....., r-.,-. ,_ -..-
J' "~~~~~~Iiljl
NAME OF UTlU1Y EXCAVATION CONTRAC\OR; PlAN COMMISSION I BZA / BPW DOCKET 3L-\pe_fll
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): Fl-I
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CO NT R: APR 1 t.2006 I III //1
III
g} SINGLE FAMILY ~ NEW STRUCTURE FI,R :::r-Ci c.:.. ,PI",,,,, '''9/1,11
TOWN HOME ROOM ADDITION(S) Plumber's Indiana SI ate License ".. LJI
0 TWO FAMILY
# of units: 0 PORCH ADDITION(S) cp "i!"i"9
0 REMODEL
o
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
o ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
o DETI\\=HED GARAGE 't;l(IntlllTliltK'l@l~sidential Code w/Indiana Amendments
~ ATTACHED GARAGJ;.... Cciti%1,"Uv ~.:..",.Il.!'_ .
o D~li~D ruR . . ~'1I~fflnU,,,.......nn~ Code w/Ind,ana Amendments
l'\l;l"t:.I'<'''''''' \':ince VJ,t\1(fJ1D~~'?mIIY Constr cllon Code)
,",'L C\ to C~rr,P LOC:).\ Co_e. Co
M f ct S~p\e 0\ Slale ano U' 'fll8N: (Check all that apply for the new
_Y YN anu a ure C"'M\Vi $l:r~eti
.EL Trusses: r::-'If ~ YJ I ~i -r
, O...~:~.. "'MEL CRAWLSPACE
Lot Split: _Y LN Sump pu"'ti~vp..'){j iND\A SLAB
Does any part of the property lie within a special Flood designation area: _Y-X-N
o
PROJECT INFORMATION:
Early Release
Permit:
o
~
POST & BEAM
BASEMENT
WALKOUT:_ Y---X-N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS 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, 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 will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
lndiana - 1993" (Z- 289) and amendments, adopted under authority of l.c. 36-7 ct scq, General Assembly of the State of Indiana, and aU 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
used or occupied until a CertIficate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
(6JJ./A;....; (;J ~ ~ J C. IN i\ Ii ClTY"'I IN, i ~h+ '-\ \ \l \ 0 c;,
Signature of Owner or Autbo ized Age t Print Date
Under Slab
# Charged Re-
ReViews
Site
P.R.I.F.:
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Yo
ices (Date)
Fee Received by: