HomeMy WebLinkAbout06050187 Application
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City of Carmel/Clay Township Permit #: 1)405"6(1)7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PHONE
676-0(.3/
38
CITY
630
STATE
ZIP
BUILDER'S EMAIl ADDR!=SS"
c..,(l, '61"e V
BEST METHOD OF CONTACT:
U,
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME OF UTILITY EX VATION NTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE F~
~TOWNHO ~
"D TWO FAM LY C7 -
# of uni
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~W STRUCTURE
o ROOM ADDlTlON(S)
o PORCH ADDlTlON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
PHONE FAX
CITY
STATE
ZIP
ZONING:
S
SQUARE
FOOTAGE: ;)99d
I
PLUMBING TRACTOR:
tf~n-~ Tru..;
Plumber's Indiana State License #:
LP /COOCJ /6 I
Which plumbing codes will be applied to the construction:
~rnational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
E I R I M f d FOUNDATION TYPE: (Check all that apply for the new
ar y e ease .?"\ anu acture ~ construction area)
Permit: Y L..J\V Trusses: ~Y/ N
. - . /.':\ ~\?~ 0 CRAWLSPACE 0 POST & BEAM
lot Split: _Y ----W sum~~\J I. N ~LAB 0 BASEMENT---.,-.'
Does any part of ~\\Y'P.e~~l1t~ l!\~,Ij,~ood designation area: -Y -EE) re r?V\'Af~9lf;:~\~ IT'"\'N
For Single Fa . ilMkl..tla P&mil~l~~ l~ ,~d/or accessory structures, this pe~Mit\1 ialid-.;rifY'ii~o~ction co~+e~~~
. within 180 da o'1fhe ~t~~~t?t~~~~~4 'I~JtRq~~~s~ be c~mplcted (Certificate of,?~~ur+cy issued) within 18 m~mth~\<'q~t~f~
Issuance date. Class I stp.lf.5fe~lt\S<.:a~'"e sM.iemoiLJ~h~rni AdmInlstratlve Rules ofehe State of Ind,ana (See QnJACZ-24reg~!ng etPlC~tl?n
. DE? \ QN'E.LI4nh~tramesforbeginningandcompletingconstruction. \\\ \\\ MAl \\..-<. \
I, the undersigne.d,.~e@Jii: ~bn~~a~struction, enlargement, relocatIon, or alteration of a strud,ture\ or any change in theu~d.of- \
structures requesW} by"this application \\r~g~iiy with, and conform [0, all applicable Jaws of the State of IncV~ha~~u.d the~ZoningOfdinance 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 amend~ry__J
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further ~ertify that t.he.constructionWill not be
u or occupied until a Certificate of Occupancy has been issued the Department of Community Scrvi&-s7'Carmel, Indiana.
e.. nOo/ 6 /O(..</O~
Date
OFFICEUSEONLY:**********************************************'*~b**********************
Filing Fees: ~.:ro . .;20
~INSPt;CTIONS REQUIRED: 27 0
B Base Inspections: .;;z ~~. )
U per .footin Lo -\ooting ,Under S1a~ ~ 0
I' \ - 'I Cert. of Occupancy: :> J, 'J
~ eterBas Final Site / P.R.I.F.: .I d tl dO
# Charged Re-
ReViews
Additional Fees
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Reviewed/Appr ve : Dept. of Community Services
S:Permitsfforms!ILP RESIDENTIAL