HomeMy WebLinkAbout06050171 Application
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.City of Carmel/ Clay Township t4\ Permit #00050/7/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
, .2-
//~
STATE
ZIP
BEST METHOD OF CONTACT:
C,. S; C-:::"
PROPERTY
OWNER:
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
ZONING: "PUD
SQUARE
FOOTAGE:
ADDRESS OF CONSTRUCTlON
G/' e/'
WATER lITIUTY -I Hciv
PROVlDE~:. ::::! ...L I
,... \ .
NAME OF lITIUTY EXCAVATION CONTRACTOR; PLA.NCOMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WE..LL-AND/()~ S~PTIC PERMIT #'5 (IF APPlICABLE):
/.~ . \/./",\ \-\
~ ',: "-.-.) ~/ \\\ \\\
TY~NSTRUCTION~;".,<;.>; TYPE OF I~~R!>~MENT:
SINGLE FAMI::<~ C. ~/..' ~EW Sl:RUVRE
o TOWN HOf>1E<.:.~\:<>/ tP~ ROO~.ADDm. 9N(S)
o TWO FAMIL Y,\\ \ ( ~ 1- 0 PORCH ADDmON(S)
# of Units: \ \' .\ \ \ ~'" O/!l.EMODE[
o MULTI-FAMILY\\~~tJ ~ceESSORY BUILDING
# of Units: \;\ \~ O/DETACHED GARAGE
o RESIDENTIAL (FDr\\>VO ATTACHED GARAGE
Additions, RemodelS) Etc.) 0 DEMOLTIlON
PROJECT INFORMATION.
Early Release
Permit:
SEWER lITIUTY
PROVIDER: C T f? W IJ
RUCTlON:
0(/ {foo
PLUMBING CONTRACTOR: r
J?/!J~ )J AUh'.<~ /
Plumber's Indiana State Licen #:
Pc )C;/002/f.
. .
Which plumbing codes will be applied to the construction:
G--tiitemational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w IIndiana Amendments
(Multi-Family Construction Code)
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_Y /N Trusses: _Y ~ construction area)
.A; 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y _N Sump Pump: n _N 0 SLAB G-llASEMENT
Does any part ~l!. i . esignation area: y./N WALKOUT: Y---N
For Single Famil ~iF\vb ~.wltlttimt'~~rf!I1d/or accessory structures, this permit is valid only if construction commences
within 180 days of the datirba1!ia~gf~~it9~. rmit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Cr.ee\D'1"'eF~fatf,S!l!>iAA to ~.l!ministrative Rules of the Stat~ of Indiana (See 675 lAC 12) tegatding expitation
I VIIV U It\h!e leI ~ng and complenng construction.
I, the undersign~~Gi' ~a~op,@~@~pt, relocation, or alteration of a structure. or any change in the use DEland or
structures requested by this applicationn~i~Y\ with, and cOrUorm i:~, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993n (Z-289) and amendments,"Md~Uhder authOrity of I.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 are connected to the sanitary sewer. I further certify that the construction will not be
used or pied until a er' cate 0 Occu cy has been issued by the Department of Community Services, Carmel, Indiana.
/reF~S~-%r 4~J
Print
J,2]-()C,
Date
OFFICE USE ONLY: **************************************** ********************************
Filing Fees: 0& i- ;if)
INSPECTIONS REQUIRED: v ' ~ .
...c:::"- ..,. Base Inspections: ,;2 7 2 "> 0 # Charged Re-
~per Foot~ ~r FO~ Under Slab "--3 /0 Reviews
~ F~ Cert. of Occupancy: 0. ,)
~U9h!!y ~ L/ P.R,I.F.: / .2 ,/. 00 Additional Fees
C; 5v-Zb~ Fee~Re' e4dby:h~~' ~d'/to,SO
:' Oept. of Community Services (Date) ~ ~
RESIDENTIAL