HomeMy WebLinkAbout06040181 Application
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City of Carmel/Clay Township c,M.-permit #: Oraotf,ottf> I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
STREET ADDRESS ~ /
02} /"',
6f:v C /L
ZIP
Y6"2't"J
NAME
'1-1
PHONE
w, )??'t- Y2 2 Y
PROPERTY
OWNER:
NAME
STREET ADDRESS
C
LOCATION
&. PROJECT
INFO:
LOH/ao )'
SECTION
(.,( /JlfA (tI"<'1
ADORES, 9F CONSTRUCTION
'1 7 ;1<- d.> t//t. .
SEWER UTILITY /' . WATER UTILITY / /'
PROVIDER: C O-/'- m ~ I PROVIDER: L-~f!-/H <
SQUARE
FOOTAGE:
~I 'f /
ESTlMATED COST OF CONSTRUCTION: f /
(EXCLUOING LANa VALUE) / ,
(rJ
QW~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): -( ) (,.<. /0 /!C.
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: .It. C'<Q)~
/ /' -Q ~ A)
o SINGLEFAMILY (S;J/NEWSTRUCTURE .t::a// /r-"'t'L~ q.~P''\,...
>>~~NF~~I~; 0 ROOM ADDITION(S) Plumber's Indiana ~tate L" ense #: ('.,. oil 'J')~
o PORCH ADDITION(S) -') dill. A)
# of units: C/ - () 'If'
o REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
Which plumbing codes will be applied to the constructio ., ~
cg...{nternational Residential Code wI Indiana AmendtCtPts
o Uniform Plumbing Code wi Indiana Amendments
(Multi'Family Construction Code)
PROJECT INFORMATION:
FOUNDATION TYPE:
EarlY.Release L/": Manufactured (./' construction area)
Permit: Y N Trusses: vy:%
- ,/ - - 0 qAWLSPACE
Lot Split: _Y ~N Sump Pump: _ Y _N EY"SLAB
Does any part of the property lie within a special Flood designation area: _Y__~_
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WALKOUT:_Y -----N"
_ _ _.. JJ_.'\LL.:(Y.~'IC-:.II\\//I'::c-:lr-\,
For Smgle Family and Two Family dwellings, additIons, remodels, and/or accessory structures, thJ~;p~r,ITI.!!-}~ v~~d q!l!y; If..con.struct:.~I,Iico~!Ilences
within 180 days of the c\aua.9f~~~f ~l;wiJA.il),g.p,).1\J;Q.i~ fl'14Jnu~ I.?~ completed (Certifica~e ofPfcupancy'issuedYwitliiji-18 ~~mt~~'.of the
issuance date. Class I st~pertti1ts:!t:fe'S~~h~C'thftWJXJ1;.I~ative Rules of the State' 6Hhdiana (See 675 lAC 12) regardhig C:fPiration
Subject to Gompl~b.mt.,fa;ll~li0I1fScompleting construcdbii:\\ I ,", ,,?no&; i! i ! 1\
I, the undersigned, agree that any cO~l$t9t~H!i~;j~~;emem, relocation, or alteration ofh!Jtru,c~ure, ~ily dia~e iii-tne'use o( larfq C?r
structure~ requested by thi~rll,wHs:-ttiJiH'ten~4t9WJt.IW ..wit ,~S;~I \t9r,~];l{llicable Jaws of the Stat~ ~qf I~(Vana, and the "Zoning Ordinaric~~..Q.f-.CFmel
Indiana -1993" (Z~ 289) an~dm~~s, MdpttlH WfiHt b!hhr~ .r!_ je.~seq, General Assembly of the Stateof.lndiana,.and,allActs'amendatory
thereto I further cernfy Ql)'b1yO,?i~l-GAA-M<ffilq6~ <if(l):WNSHtpte samtary sewer I f~rther cerufy that the constructIon Wln n4t be
used or occupied untIl a Cert /Cate of OccuPff\fd1~~Je Issuedhy"thc Department of CommunIty Services, Carmel, IndIana ---- -- - ~
::::: (f L C-(?<'J cF y.-2-7-0'6
re of OWner or Authorized 9 Prin Date
OFFICEUSEONLY:*********************************************************~**************
Filing Fees: ;j~ 0 -3, /0
CTIONS REQUIRED: , 'J 7 /'). 00 # Charged Re.
Base Inspections: '?'" /.;> ,
Reviews
S3.~O
/rJ b/ 00
;;? I jl5'./ 0
~
Lower Footing
Cert. of Occupancy:
Final
P.R.I.F.:
Additional Fees
6"3-0(,
Reviewed/Appro d: Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL