HomeMy WebLinkAbout06050061 Application
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~CitYof Carmell Clay Township Permit # :ChIJ5mb}
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lit Two Family: New Structures, Additions, Remodels, lit Accessory Structures
BUILDER of
RECORD:
I PHONE
rft t CP.
PROPERTY
OWNER:
BUILDER'S EMAI.:.t?DRESS
M €. 7GA1
NAME f
~ Ml-'? -:5#19-111#
BEST METHOD OF CONTACT;
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ZA-rD I -,; 1'1 ~;e-n~:--
SECTION
Or 6-h4'Y tt#s..,
CVL-
STREET ADDRESS/,"
L~~
LOCATION
lit PROJECT
INFO:
lOT 2...
SUBDIVISION NAME
If=?...,,,,...rE-S
ADDRESS OF CONSTRUCTION I J _ -'" _ ~
/33~ 11/. ;;,rI~6__
SEWER UTILITY
PROVIDER:
WATER UTILITY t:~
PROVIDER:
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/'", ,', '. \."
NAME OF UTILITY EXCAVATION CO~CT9R';,fLA.~'(<;OMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANDjO ,COUNlYWELLANOjOR SEPTIC PERMIT #'5 (IF APPLICABLE):
<,-~'.\ ':rr' \"\.'\.\\\
~f)
TYPE OF CONSTRUcrI~:y/ iY~E'b~MPROVEMENT:
0'5INGLE FAMic'DY 1:>\:)'<:> ~NE~'STRUCTURE
o TOWN HOME;/ co ,.0 ROOM ADDITION(S)
o Tl'(9,~I\J'~I.LY ;:\ ,. / 0 ,PORCH ADDITION(S)
# Qf,u,m~:, ~'f / 0 REMODEL
o MULl1'FAMItY 0 ACCESSORY BUILDING
# of Uhits>;-'\' / " 0 DETACHED GARAGE
o RESIDENTIAL (F..oV // 0 ATTACHED GARAGE
Additions, R'Eilj\odels, E c:) 0 DEMOLITION
FAX
~ -/i?<P ~
STATE ZIP
IIU +~o Q, 2..
CITY
STATE
ZIP
ZONING:
:;/
SQUARE
FOOTAGE:
~2-
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) II~ Ot;;;>C>
t::() RfS1I-# '- "# O(,OSOtJbO
PLUMBING CONTRACTOR:
AA~~~5C)/V'
Plumber's Indiana State license #:
2'2-- B/~ 7
W~lumbing codes will be applied to the construction:
c:::J International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi.Family Construction Code)
PR
Early Release M f ctu d ~'\, ....;.rrFOUND~nONTYPE: (Check all that apply for the new
_y """-;:;-N T anu a re VlVVy. N'1lJ' constructIon area)
Permit: russes: '~
_ ,') - -- , - , 9 'i 0 CRAWLSPACE O..J!OST & BEAM
Lot Split: ,,\;~ Y ~ Sump Pump: - Y _N 0 SLAB 0" BASEMENT v-::
Does any part,ofthe property lie within a special Flood designation area: _ Y ~ WALKOUT:_ Y_N
f' , .' .-"'"f""
For Single Family'B.... " . .... ., 0, remlJ'1\js a d/or accessory structures, this permit is valid only if construction commences
within 180 days <I~6~~~~ \ ~~ ~GM.~~ ust be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. ClasSih~tiUcfq,~f6tate-Md.~t)jaal tGmeameral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
'. . ~fr~'I'l~~o;;.T\~" '~nj MUN'l'N'SE~l!!&gandComPletingCOnstruction,
I, the undersi~e.?i ~~~lt ~ cDn's~c ,~!l' ~ 9niW~ ~S relo~ation, or alteration of a struc~ure, or any c~ange. in the ~se of land or
structures request~ '. iGfp , - ,lJt\II, ah ~fcJ,lm applicable laws of the State of Indlana, and the' Zonmg Ordmance of Carmel
'::- ':. j;~~r,?iana - 1993" Z-289) and am~~?ment' ":~~er authority of I.c. 36-7 et seq, General Assembly of [he State of Indiana, and all Acts amendatory
.:;r< l~thereto, I furt r' nly kitc n at ~andf1oordrains are connected to the sanitary sewer. I further certify that the construction will not be
Ah' ;used 't tincate. f cCljpancy has been issued by the Department of Community, ervices, Carmel, Indiana. ~ I /
-;1...--", Ie- S;~/O ("
ent Print Date
OFFICE USE ONL y:"'** *****************************************f~**~ *********************
Filing Fees: [/ .3 'L d-.O
~~:>PEcnO~S REQUIRED: Base Inspections: ~ 11 ,<(' d # Charged Re-
<!!iiper Foot~e-wer FootIynder Slab "~d Reviews
Cert of Occupancy: ) 3 '
~"',.. :Q"-~" V 'M.F. / iii- 00 M~~,".
. JTOTAL: jpd '7;2/,02.0
Cy."".'i,..M\c.,~ c;- 10-06 "fA A 11 L 1f.... A /
ReViewed/App;JveHept. of Community Services (Date) \.A.J\..o{)( J~ , j ,~ I , "-1../( /(I..{
S:permits/Forms/ILP RESIDENTIAL Fee Received by: l 5/ Jft I 0& I