HomeMy WebLinkAbout06040080 Application
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City of Carmel/Clay Township ~. Permit l1h04IJ{fS)
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME GlLl'\ \-\-f\1IVl Co /JSTT2.-lIGilo')(JE
STREET AI~E~ 5 S, q 00
7&q- 51Z-S'
FAX 71/1- 51 :z-g
4
ZIP
077
CITY
2l0tJSvll...U;:
STATE
(tV
BEST METHOD OF CONTACT:
CEt-L- (pC {/_L(qOI
STREET ADDRESS
0&7(;
CITY
P~.
FAX
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
LOT # I ~ SUBDIVISION NAMS-~n . ... I
3 V W nJm<-.vvOOo
ADDREis (/ ~0'30UCTION\;\J 1 tJIC-eW 00 () D!2-, I c.A:f-1'Vl
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER:
N 01-1 6
,
NAME OF UTILITY EX All CONTRACTOR; PLAN COMMISSION I BlPyl W DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERM #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
1:i!( REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
_--;'W,j.:-':J ;_.._"\ !
~ rc~ 01 \-\/f 1::;-;;; \ ~\\j
1:::-.1 I \,'1 !~_w_. " .'
I ,........- ~ ~
j
,
~
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
~ RESIDENTIAL (For
Additions, Remodels, Etc.)
license #:f>C
PR 1 7 2006
Which plumbing codes w I
plied to the construction"
o International Resi ential Code wI Indiana Amendments
rxi" Uniform Plumbing mendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
~ ~ FOUNDATION TYPE: (Check all that apply for the new
Early Release Manufactured
construction area)
Permit: _Y _' N Trusses: Y N
_Y ,- j - ~ 0 CRAWLSPACE 0
Lot Split: ~ Sump Pump: _ Y _N 0 SLAB .......--0
Does any part of the property lie within a special Flood designation area: _Y ~
POST & BEAM
BASEMENT ______
WALKOLrr:_ Y -==:::::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 struc~mits 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, agJ;.et that any copstr . on, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requeste~by this applicatio . comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
India a -1993~ (Z,~289) and amend! ent adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
theret I furtheicertify that on it en, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
o eu i unt er' e co[Oeeu aneYhaSbeenissuedbY:heD~part,...EDfFornRc3NsTRuCCT~8itana '/ _ n -lcX){"
P,;nt te nd Local Codes. Date
OFFICE USE ONLY: ********* **1U***********PEP ~)It"e~wl"'lm'Sl!P\mE&*******~********
INSPECTIONS REQ IRE&:- t-IL '6 c~c5 .ARMEL! GI:AY :rQlijN~=3 3 )
, . . I I \llase InSfJ ctisn$NDIANA . 1/ l () 0 # Charged Re-
Upper Footing Lower Footin Under labJI 'OOr . e-""--'O ReViews
;;;::::~ '1' Cert of ccupancy: v 3. :s
~OU9h 1':./ Meter Base in Site , .LF.: Additional Fees
~ \D~ ~ /1 TOTAL~ ~ iJt 00 ~ ~
l \ ReViewed/Approved: Dept of Community Services (Date) f:l,.J)vLd'1 tl '2.((}Mt:I.(~ 4f '1 ftif
\S:Permits/Forms/IlP RESIDENTIAL Fee Received .