HomeMy WebLinkAbout06060101 Application
City ofCarmel/C/ay Township v) J<>~ ~ Permit #: CJftOfl()/O I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME-r ;-...
--J\ W. t
WE: lWiLli:""R I Llf)
LiZ E[fJ:::. i?D. '1t 308
PHONEji? -823- gb?/
CITY /fJ.()~US STATE
FAX
1l13-j-7;O
ZIPL{r.o;l.Sb
PROPERTY
OWNER:
IN
BEST METHOD OF CONTACT:
CELt. P#oV{ - '1'1J-' vI .;l S
/:.'f. tJ.S r
PHONE
gQ3'.9873
FAX
LOCATION
& PROJECT
INFO:
CITY
C4-NtlEL
I
STATE
iJ
ZIP
'-(boSS
SECTION
SEWER UTIL
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDIOR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
'%
~~
o NEW STRUCTURE ~1
)i:( ROOM ADDITION(S) Plumber's Indiana State L~ense #: :-)q
o PORCH ADDITION(S) P. c g 00 g j 8 L. . \l d
o REMODEL . . dJ V
o ACCESSORY BUILDI~ '. Which plumbing codes will be applied to the struction: ~Dl /~'
o DETACHED GARA2.d' ~International Residential Code wI Indiana Amendments
o ~~~CL~i?o~ARA~~ .0 Uniform Plumbing Code wI Indiana Amendments
o (Multi-Family Construction Code)
PROJECT INFORMATION: ~
~ FOUNDATION TYPE: (Check all that apply for the new
Early Release Y N TManufactured N construction area)
Permit: russes' ~ "-<'
- ---"--:/ . ......" .. -------PI CRAWLSP
Lot Split: _Y # Sump Pump: ~ 0 SLAB . ")
Does any part of the property lie within a sped designation area: Y .6--tf;
TYPE OF IMPROVEMENT:
I, the undersign d,
strucrures re
Indiana - 199
thereto. I fur
used or OCCll
,
For Single Family and Two Family dwellings, additions, this per it is valid only if construction commences
within 180 days of the date o[issuance of the buildin . and must be completed (Certific ccupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to era! Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
".'tfme frames for beginning and completing construction.
gree t at any construction'; reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
by thi application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
9) an mend ents, adopted under authority of r.c. 36-7 et seq, Gcncral Assembly of the Statc of Indiana, and all Acts amcndatory
r 'fy th' onl tchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
. d til a ti teo[Occ ancyhas been issued by the Department of Community Services, Carmel, Indiana.
:r er:C Rrl S. I-{ 0 vJr
Print
POST & BEAM
BASEMENT ~.
WALKOlfT:_Y..p.....N
b-~'()0
Signature 0
Date
* * * * * * * * * * * * * * * * * * *-* *?* * * * * * * * * * * * * * * * * * * * * * *
c/.\ Filing Fees: .
IN PECTIONS REQUIRED: /. ""\
\f, Base Inspections: ~ -;).-.. If' .
Lower Footing Under Slab v ~"" /"'0
.......-:::;::: ~ ) Cert. of Occupancy: O-fl ' ~
0~1 Site
:~~,="~~ ,~., ~~%~~ ^tf~""-
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