HomeMy WebLinkAbout06050152 Application
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City of Carmel/Clay Township . 1)f1 Permit #:Oh()SO J S(}..
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
NAME
Se-/+
PHONE
FAX
STREET ADDRESS
501 YV\-e.,
titS
'be.JoV::
STATE
ZIP
PROPERTY
OWNER:
STREET AD~
SEWER lJT1LITY /I
PROVIDER: l tA Y yy\
ADDRESS OF CONSTRUCTION
53 .-.-
I
y W\ e.--I
C I SECTION
e t.lh~05.
G+.
ESITMATED COST OF CONSTRUCTION: .rl I h/1 OJ-.
(EXCLUDING LAND VALUE) ~ f) l..1uv i V
LOCATION
8r. PROJECT
INFO:
LOT #
53
e
WATER UTILITY /l ..
PROVID;'R: L.II< Y yY\-e..
\
NAME OF UTILIlY EXCAVATION CONTRACTOR; PLAWc.qr;lt'ISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN~;:tE~~~~~'o ,~c PERMIT #'5 (IF APPLICABLE):
"'!I "/ \ \
TYPE OF CONSTRUCTION: ,e, \\ /TYPE PI .ROVEMENT:
/rP.v~/ ~\ .\
o SINGLE FA~I,?:~, \.(:0)":/ ~ UCTURE
o TOWN H,qli~ \:':Y" 1'0 R A mON(S) Plumber's Indiana State License #:
o 1WO FAMW\\; ..r \~ BeRCH AD TION(S)-,"
# of units;,\ \ \ ~ :/REMQDEt1a' ee.k'
.. MUL T1-FAMl~ \~ 0 p'>c-cESSORY BUILDIN Which plumbing codes will be applied to the construction:
~ R~s~6~~~~~~~r c;Y' DET ACHED G:::G~ 0 International Residential Code w IIndiana Amendments
Additions, Rem~IS, Etc.) ,/00 ATTACHE1DOG G 0 Uniform Plumbing Codew/Indiana Amendments
7 DEMOLIT N (MUlti-Family co~str dion Code)
PROJECTINFORMA oN: ~nd SforV k)} reside.Y:L"-~ he. QL.<....).
M f ct d FOUNDATIOW 'E: (Check all that apply for the new
Early Release t anu a ure X construction area)
Permit: Y N Trusses: Y N
- . . - X 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y N Sump Pump: _Y N li(l SLAB 0 BASEMENT
Does any part of the property lie within a special Flood designation area: _Y)( N WALKOUT:_yX-N
PLUMBING CONTRACTOR:
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 \-vith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~ 289) and amendments, adopted under authority of l.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
used or cu ed untIl a cer:;;;b::J;CYhas been Issued S-t-J~~;)07~'7:f;s" Carmel.lndl,ana :11 h~
orized Agent Print' r o~ I
OFFICEUSEONL :**********************************************~*****~******************
Filing Fees: / J 3 . Up
INSPECTIONS REQUIRED: RELEASED FB;l~~QJliaibIWCTION ( :)::> )0
r Fo ing Lower Footing UndWllSjlab to complian,?~ With all regulations r- "3"-/;-
" ~ of State~ m:Qlfc@llgll\W: ,S-:: . ,) d
eter Base Fi.nal eil.Ef" OF cq;(~l!t!~rfY ~ERVICES
, OF CARMEL / CLAY TOWN:SHIt-'
iN IANA TOTAL:
# Charged Re-
ReViews
(Date)