HomeMy WebLinkAbout06040160 Application
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City of Carmel! Clay Township Permit #: cx.,OlfIJ IIoD
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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BUILDER of
RECORD:
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BUILDER'S EMAIL ADDRESS
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NAME k f:) t-tu ~ -e
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STREET ADDRESS
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PROPERTY
OWNER:
STREET ADDRESS
(J,,{.) FAX
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ZIP
YLP2L/ I
BEST METHOD OF CONTACT:
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FAX
STATE
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ZIP
L}lJ:>~4(
LOCATION
& PROJECT
INFO:
LOT #
ZONING:
ADDRESS OF CONSTRUCTION
qe<:;1 {Y'I-cIA <> '1::XC-.
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER: ~tA. ~
NAME OF UTILTIY EXCAVATION CON QOR;.pwrc6MMisSION / BZA / BPW DOCKET
NUMBERS; TAC ~~~~;.h-N~'(2:~N~\~.~LL\~~/?f~I\~C PERMIT #'S (IF APPLICABLE):
1"'--, \l~_..., j\ n \;,..~... _- . \\ 'i\
F 0 , R 91 N:.::::--- TYP" F\ PROVEMENT:
II.llr II \'
SINGLT\~8~IL Y ()6' ,\ NEW STRUCTURE
o TOWNH9l':\,E, f>,??' '2. 1 '1.() 0 \ ,ROOM ADDITION(S)
o TWO F~~1,I~Y\ oj PORGH ADDITION(S)
# of uqi!f:\ \ \ _ .----.---0 REMODEL
o MULTI-F~MILV'--- _D--ACCESSORY BUILDING
# of Units: ,~ -----..-- 0 DETACHED GARAGE
o RESIDEN'l1Ae(For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
~UARE 5
FOOTAGE: Lj ~9
ESTIMATED COST OF CONSTRUCTION: 10-'/
(EXCLUDING LAND VALUE) 35 \P I () J
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PLUMBING CONTRACTOR:
-- ~~ S~k
Plumber's Indiana State License #:
!DII"
Which plumbing codes will be applied to the construction:
~rnational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_Y ----N' Trusses: ~ _N construction area)
. ./ ~ 0 CRAWLSPACE
Lot Split: _Y~ Sump Pump: _Y_N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y '---'1f
o POST & BEAM
c:J-1li'i5EM ENT
WALKOlfT:_ Y ----N
For Single~J:lW~~'~~ chY,~r lln~~dditions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 1 ys"'o'f11?~~~~lhlatid lQWG.iF~t, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance da . a;t~!;t, ,RJ<l" '.fThIa,',' 1~@~~,_k~~_",1~ - l!ifjH~ral.Ad.m,inistra tive R u, ~e, s of,the ,Stat,~ of Indiana (See 675 lAC 12) regarding expiration
of $tate aria tocaJ:C' ramesio'fbegmmi1di!' 'i;i!1' '@~e~IlIAL
l.theundet8eFpfEl~.:""" rtjql~~-.r~tg.,nn.2.stt,ruction,enlargem, ..at. "We cio~~;\ t .~ It; change in the use of land or
structure, e t btms . 'rr'~ hIn~\I,IGE&-form [0, . I'.:ii;\fi:t&! af(i>> $iatt -. ~;, n ~Zoning Ordinance of Carmel
Indiana - ~~W~~~. te~(,}fd~~W/NJ~lUiH::J)f l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto further certIfy that on! :n,.h.;th', anctrtJ&'crr~fdM=e connected to the samtary sewer I further certIfy that the constructlOTI WIll not be
used or Oled until a Cert/~ ,panCYht:.een Issued by the;;ment of Com mty s~'~: ~el, Indiana '-.11-"7/ \ I () ( "
Signature of Owrler Print ~
OFFICEUSEONLY:************************************************************************
Filing Fees: f32 90.
INSPECTIONS REQUIRED: '7.' ,
-.-'--.----... ~ Base Inspections: &1' ;)'rJ # Charged Re-
~pper Puut~l!-,) ower Footin Under Slab ~ "50 ReViews
. --.. Cert. of Occupancy: -> ... /
~ugh'"I9 Final _~ P.R(I!.: I , { de (, /. 00 M,~",'_
~_;q_ ' {/&~ /i~5"J-J. 70
Reviewed/Approv d: Dept. of Community Services (Date)
S;PefmitsjForms/ILP RESIDENTIAL Fee Received by: