HomeMy WebLinkAbout06040098 Application
City of Carmel! Clay Township u;> ,0 ~ Permit #Cb/)4 OD W?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8. Two Family: New Structures, Additions, Remodels, 8. Accessory Structures
BUILDER of NAMEW Gorv sV/I,/\A.(j \f!),.J PHONE 5'71- FAX
RECORD: {
STR0 ADDRESS CITYf STATE
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BEST METHOD OF CONTACT:
LOCATION
8. PROJECT
INFO:
PROPERTY
OWNER:
PHONE
5J'i'1 ~~ 3S5>
FAX
ZIP
SEWER UTILITY
PROVIDER: C T f<-vJ ~
lOT # 3
ADDRESS OF CONSTRUCTION ( ,
S~CvV
WATER UTILITY
PROVIDER: ..:t
ZONING: .
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NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND! mc PERMIT #'S (IFAPPLlCABLE):
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION: j 5/ 99'4>
(EXCLUDING LAND VALUE) l , S'i) '? Co.o ~
TYPE .su= CONSTRUQJO~ ~1:'
0' SINGLE ~;,IF- ~]--_/
o TOW ~ \S?'.----
o TWO I 'L.\)\)~
#ofu ,ce 0
o MULTI-F
# of Un;
o RESIDEN
Additions,
STRUCTURE
ADDITION(S)
ADDITION(S)
o L
ACCESS RY BUILDING Which plumbing codes will be applied to the construction:
ED GARAGE OInt ional Residential Code wI Indiana Amendments
ATTACHED GARAGE.::. 'f PI b' C d II d' A d ts
o DE OLITION !v~ n. onn um '"9 0 e w n lana men men
M ~;s>~ (Multi-Family Construction Code)
:arlY :~:a:: N: Manufactured ~" ,Sv~1r~"9~.N TYPE: (Check all that apply for
Permit: -y ~ Trusses: _Y46;,~,,~$~~}{ 0 POST & BEAM
Lot Split: _Y _~ Sump Pump: v/Y,~~IiQ"'ij'@R@~J.c 'JY"y B--BASEMENT
Does any part of the property lie within a special Flood design "11l~ / ,() , v WALKOlfT:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory ~~lt~<.&lifY.sc~::Q~ v~v.if construe 'on comm es
within 180 days of the date of issuance of the building permit, and must be complcu'd (Oet~ic~ ccu~{~d) within 18 m s of the
issuance date. Class I structure permits are subjt:cr to the General Administrative Rules of die bat1: 0 ia~a (M l?75 lAC 12) regarding expiration
time frames for beginning and completing constr~t{~......") ~'91}: ,/'
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a st'M91tYt~&\- 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 In~ and the "Zoning Ordinance of Carmel
Indiana _ 1993" (Z- 289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the 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
used or occupied until a Certificate of Occupancy has b the Department of Community Services, Carmel, Indiana.
PROVEMENT:
PLUMBING CONTRACTOR: I
A p. )~~-vJ (J~ b'N (,
Plumber's Indiana State License #:
C f rrJ?<J C9D~ 5> 0
n
J/I~/6?
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******** '*******
e.
IRED:
Ba e Inspections:
erL of Occupancy;
********************************************
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# Charged Re-
Reviews
OFFICE USE ONLY: *********
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Reviewed/Approved: Dept. of Community Services
S:Pe1"mits/Fof"ms!ILP RESIDENTIAL
(Date)
Additional Fees