HomeMy WebLinkAbout06050050 Application
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City of Carmel/Clay Township \Y ~" Permit #: ()C;08 00,5,
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
CITY
NAME
L0
PHONE
84~-770
FAX
818-?Ol~
ZIP
o"i? 2-
~
PROPERTY NAME
OWNER: (J
\ STREET ADDRESS cm
LOCATION LOT # 7 SUBDWO~1
&. PROJECT
INFO: O~T 'T
FAX
/
STATE
ZIP
WATER UTIL~ ,--) n
PROVIDER: ...J,..t.JD, :.s fIJ f'rr<<
NAME OF UTILITY EXCAV nON C ITOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
I'JI~I"rJ
SEmON
I
ZONING:~ _ L
SQUARE (/)
FOOTAGE:€>
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE)
vAl/ON
HAro
PR
PLUMBING CONTRACTOR: ruJ f
S1JS (1nencPI/J nO~.JltJ6
Plumber's Ind.ana State License #:
ORCH ADDmON(S) BG ~CLI_~hO "11
MODEL a cr\lV
A CESSORY BUILDING ~Ilj\'ll!lo~bl ~CflIlIbe applied '0 'be construction:
D ACHED GA~ 1('0\\ ,g ~olI.'l.tfi,g~1 Residential Code w/Indiana Amendments
-ATTA~~AAGE.. hane "._o'-C06~\ ,-
, t ,0 ''1'~?, ~_o9'!::! wi Indiana Amendments
DEMO /:jC ,,2>tc an ,\MI\iN:~amilY,C.m Qode)
01>> ,,"u"" -, "n
\ "COw';" r>-'f \ ~.
V;; M f ct d:G~~~ "".Ai:f\OtAif'b'ATIONTYPE: (Checkallthatapplyforthenew
anu a ure t t:. ",' ;>.,\ .<;qI\.tr"~n area)
. ":Y _N Trusses:! '" \\'l~\",yv~
/" _ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y --1LN Sump Pump: _Y _N 0 SLAB ~ BASEMENT /
Does any part of the property lie within a special Flood designation area: _Y A WAlKOUT:_ Y ~N
o
o
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
It the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or 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 Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" (Z~289) and amendments, ad ted under authority of r.c. 36~7 et scq, General Assembly of the State of Indiana, and all Acts amendatory
thereto I furt certily that only kitchen, and floor drams are connected to the samtary sewer I further certIfy that the constructIOn.""111 not be
used or oce ed unul a f 0 upancyhas been "sued by the Deparrment of Commumty ServICes, Carmel, Ind,ana J J
'2r/rlJe;.J ~ JfJo PD }j CL 7 f() 10
SI Print Date
OFFICE USE ONLY: ************************************************************************
.), Filing Fees: 119<].. 30
INSPECTIONS REQUIRED: J(I . '7 7 ./:"'0
. \\'}>Base Inspections: ^ 7 ' I,) # Charged Re-
Under Slab ~ 3 50 ReViews
Cert of Occupancy: y-.;
Je/. (JO
-;. 11.
P.R.LF.:
Additional Fees
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsfFormsfILP RESIDENTIAL