HomeMy WebLinkAbout06040158 Application
.~
City of Carmel/Clay Township r.)~. Permit ~&
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
FAX
BUILDER'S EMAIl ADDRESS
PROPERTY
OWNER:
NAME
PHONE
(
FAX
LOCATION
& PROJECT
INFO:
SEWER UTlUTY
PROVIDER: t...
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
3D .
~-+I'"Q GN
1115()
::#= {)(PD4-D / .
o
o
PLUMBING CONTRACTOR:
17th.. f . ~"""" :+1.-
Plumber's Indiana State License #:
In \1'(
o
o
Which ~ing codes will be applied to the construction:
~ternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
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Manufactured
Trusses:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE
o ~&BEAM
~ASEMENT
WALKOLrr:_ Y -N
For si-diEI:.5ASii{)rJ;~NSili~OOlf~emodels. and/or accessory structures, thi is v id only if construction commences
withSu~e\m/jlc!lffitiHmr~~8fltM~lli~rmit.andmu" beco~. i. . ~..s . hin 18 months 01 the
issuance date. CIefssfiJllifaW8 ~8BfJF c;8&9J~ct totheGene~al.Ad.ministrati Ru.' 0. e j ( ,', ) regarding expiration
: ,.~.;~J.. ," dme frames for begmmng and co 1 .
I,..the u~e().ijrG,~U~i~iS.fiB\tiLGlCSn, enlargement, relocation, or alteration of a structure, or any change in the use of land or
S[rucre1~~cf'bi.~M@c'~tP1 \'fPl,c~vfiq~wcJlS)'nform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -19r;3'1:Z~2)rtf}anF:alllen~~~~dopr~ tl111~HLM~rj,ty of LC. 36~7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify th~t~ ,.', N,^-, bath, and fio' cd to the sanitary sewer. I further certify that the construction will not be
used occupied until a C:e,t dte ofOccupan as been issued ~.tthe Dc tment 01 Comm ,ity Services. Carmel, Indiana. / ~
r: (I t'r '-I U ()~
Dare f I
c~ ~ I-t i5..L-./ $-1'1-6(.
Reviewed/App eyed: Dept. of Community Services (Date)
S;Permits/FormsjILP RESIDENTIAL
. **** *********************"*****************
lling es: ?? yo . ,>LO
se Inspections: ~7 7. <(/J # Charged Re.
ReVIews
Cert. of Occupancy: S'3 ., <)0
P,R.I.F.: /;;2 6 / 00 Additional Fees
~ !tMd~ ~/I1/o~
OFFICE USE ONLY: ***************~J,*~****
INSPECTIONS REQUIRED: II 11 [ .
~pper Foo~Lower FootiiiQ) Under,Slab
~ ~rB~ Ii'al Site
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