HomeMy WebLinkAbout06050193 Application
City of Carmel/Clay Township ~. 6. ~ Permit #~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
NAME 1Ae.
STREET ADDRESS
~.230 So""
PHONE
317-Y). -'G.z~
FAX
317-3s.2 - ,,,~S'
CITY
If
STATE
IN
ZIP
Jf~:l.o3
PROPERTY
OWNER:
BEST METHOD OF CONTACT:
f:-ma,'
NAME
Wa.
PHONE
FAX
12
)./el/err
1/0- 'ISo'l
LOCATION
8< PROJECT
INFO:
STREET ADDRESS
2. JS I3vr,,:^
LOT #
.5S
STATE
IN
ZIP
Jf6032
ZONING: S J
SE~N
ADDRESS OF CONSTRUCTION
~ IS Bvt'''l,'''
SQUARE
FOOTAGE:
/J
SEWER lmLITY
PROVIDER: ~ I a.
NAME OF UTILITY EXCAVATI N CONTRACTOR; PLAN COMMISSION / BZA / BPW D
NUMBERS; TAC DATE(S); ANO/OR COUNTY WEL AilQ R SEPTIC PERMIT ,'S (IF AP
/_"
/"h": \\ ',\\
TYPE OF CONSTRUCTION: /" (\ ~TY~f 0Ii IMPROVEMENT:
0" SINGLE FAMILY ~""~ ~\~~ STRUCTURE
o TOWN HOME f?_ ~ - 0"'~~9C:>~DDITION(S)
o TWO FA~~ ~) ~'\l"oO \P0RC ADDITION(S)
# O~; Jii~\ _ y ~ O~EMOD
o MUL s. ~f>Y .\~ 'l, AC>E ORY BUILDING
# of LJ'l )\~:>;>Y' O/"ETACHED GARAGE
o RESIDEN '\i\~~ r 0 ATTACHED GARAGE
Additions, .~ .) /0 DEMOLITION
P E INF A '
fD,; :c; &...
Plumber's Indiana State License #:
cf JOOot? 11'(
Which plumbing codes will be applied to the construction:
~temational Residential Code wjlndiana Amendments
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
For Single Family and Two Family dwellings, addl ~dclS' and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the buildi and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the ir"~dministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames ~~ . g and completing construction.
I, the undersigned, agree that any construction, reconstruction, e , relocation, or alteration of a structure, or any change in the use of land or
strucrures requested by this application will comply \vith, and confo plicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" (Z-289) and amendments, adopted under authority of I. eq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc conn . sanitary sewer. I further certify that the construction will not be
used o~upied un il a Certj{fcate of Occupancy has been issued by the tment of Community Services, Carmel, Indiana.
~ Z::-r,'c... :s~k-e.. S-~S-(;)t,
Signature of OWner or Autho ized Agent Print / Date
FOUNDATION TYPE:
_Y / N construction area)
/ ~CRAWLSPACE
___Y~N 0 S~B
ial Flood designation area: ___Y /N
(Check all that apply for the new
/' Manufactured
Trusse~~
Lot Split: --- ~ ~ Sum
Does any part of the property lie wii/i .
o POST & BEAM
o BASEMENT
WALKOUT:_ Y_N
OFFICEUSEONLY:****************************************************~~*****************
Filing Fees: :J-'{'3, 4L
SPfcnONS REQUIRED: Base Inspections: / {.~ ,<{ 0 # Charged Re-
Lower Footing Under Slab I ~ ReViews
Cert. of Occupancy: t;:s. J ()
P.R.I.F.: Additional Fees
~~ ,JI!E~
Meter Base
Sit
Reviewed/Approved: Dept. of Community Services
S:Pefmlts/F~mS/IlP RESIDENTIAL
(Oate)
Fee Received by:
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