HomeMy WebLinkAbout06050189 Application
City of Carmel! Clay Township Permit #: () lef)SOI7/!
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
5,
LOCATION
&. PROJECT
INFO:
SEWER
PROVID
.p
FAX
575.:?31
PHONE
FAX
cm
STATE
ZIP
ZONING:
SI
SQUARE YlC>
FOOTAGE:~7 fCQ
NAME OF UTILITY VATIO ONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(s); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
/
o
o
TYPE OF IMPROVEMENT:
~w STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORv BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLU=::; TRACTOR:
f4 O(~kr....J
Plumber's IndIana State License #:
CP/~/O /
Which plumbing codes will be applied to the construction:
~ernational Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
E I R I fl Manufactured FOUNDATION TYPE: (Check all that apply for the new
ar y e ease _v ::-> T P-<; N construction area)
Permit: russes: 4'
Lot Split: _v ~ . su~p,pump: ~ Q ~ . ,~, ~~:LSPACE 8 ~~~:E~r:::--::~\
Does any part of the property he WIt ~Q {Iood deSIgnatIon area: _v ~_._--:::I%A~1K~~::'= \Y~N
For Single Family and Tw~ l:~(!)C} b.~da~ons, remodels, and/or accessory structures, th~{pe.nTl~ t@'~E'lY~if~~~tru~H~~\~oih1kences
within ISO days of th~~~s\1~'I1'&\' ~i~&~S and must be completed (Certificat~,6,f Ci,lcf~anC)rissued) within IS m~~\th~ Bf the
issuance date.J;I~$:"iCi,(i~~t.~~~)~~2jt1l~~en ~~dministrative Rules of the Statet~I lpb lana (See 675 lAC l:u..~ardi~g e.#i,ration
?t'i::-"7 ~ \000 ""e aj'.O , N\\~riii' Ii eginningand completingconstructiQI\,'-- \ \ \! ~'i 2 !!, 'L\J\JU \ 'u) \
I, the underSi~\'i}~e~~~~~~~q, r&..etrrl etion, enlargement, relocation, or alteration of a '~CfUre, orl.'i.rty thange in the use of land-or
structures requested by t . ~iiSi~O '~&;.c:mply with, and conform to, all applicable laws of the State of ihdt~Aa, and the ~Zoni.r;g9rdinanctJof Carn;tel
Indiana -1993" (Z~~1\1. I~n. ., a~~4klOder authority of I.e. 36-7 et seq, General Assembly of ~J sr.i~.lncliana:and all Acts amendatoryJ
thereto. I furtheU~'ij t it~~, and floor drains are connected to the sanitary sC'wer. 1 furt\et certify that the co~on.will'n'6fbe
u or cupi~~lil n~fjcate dr Occupancy has been i~ the Department of Community S~~:fldi:tfia. I _ I
, L :.e VI 6/~O~
mt Date '
OFFICE USE ONLY: **************** *** **** ***.~***** **************Y*~.(~*~******************
Filing Fees: f2.&~O
INSPECTIONS REQUIRED: 7 "77, )~/I
~ Base Inspections: <;;z- /. /. _ U
pper Footiii!i'> Lower Footing
, ~-' Cert. of Occupancy: 53. 5()
C~';;hIn~terBase inal Site ------:> P,R.LF,: I,~C./ 00
'/07rf'O.cil 0
..5
# Charged Re'
Reviews
Additional Fees
C' 1r-,1" ~ HI ~&V 5-7..,6 -Of,
ReviewedjAppr ved: Dept. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL
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