HomeMy WebLinkAbout06050198 Reciepts/Permits
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city iJfCarmel/Clay Township Permit #: Otta5" Olqg
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME
h
ll"uclruYl
LU.
8tf3-93N
FAX
B'(1-9381
CITY
Cww.
STATE
IV
ZIP
'11..;,33
d
BEST METHOO OF CONTACT,
FIr>t.J I
PHONE G"..~ ~;..
333--l-!roo
FAX
AI/a
PROPERTY
OWNER:
NAME
.JjlL ilend ~ LU..
CITY
/u,-v.... C--us:.,,~ --5", /-L- JUJU
SUBDIVISION NAME
STATE
fhd /j IN
ZIP
STREET ADDRESS
4(,,2-'(:,)
LOCATION
& PROJECT
INFO:
LOT #
SECTION
ZONING:
SEWER UTILITY
PROVIDER:
WATER UTILITY
PROVIDER:
SQUARE
GJ;;m~T--% Q3.L-,,_ FOOTAGE
ESTIMATED COS+iOF'CONSTRUrnON:' . '-'"'~.~-.-
(EXCLUDING LAND VAUJEF' \~/., i' ~ :.1
!: I J! I --.-.,---- -.'
'-'~"'~'
ADDRESS OF CONSTRUcnON
II/.-fSD I1v,d/~.:5f
., ';'..;
NAME OF UTlLJlY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE)'
n
!Ii jlJ
iil ill
:I: II!
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S.l.-
o TWO FAMILY 0 PORCH ADlliTd(lSJ'~
# of Units: 0 RE.'(\\J~ \3-\.\00"
o MULTI-FAMILY ~'f'(I6 l8-'IIliilltDING Which plumbing codes will be applied to the construction:
o R:s~6~~~~~L (For ' ~Jl..~'\:.\) ~,,,Il\~ _ c~~\P International Residential Code wI Indiana Amendments
Additions, RemOdeiS~~ c\ \.00, cs~, FMCltlT N, -<O\N~Sb Uniform Plumbing Code wJlndiana Amendments
;f~"{e ,,' ';'J\~:J>- '\ \ (Multi-Family Construction Code)
PROJECT INFORMATION: Of cO .-:\-1 C
~?\~l:- ,,~"" FOUNDATION TYPE: (Check all that apply for the new
Early Release 0 ~\r construction area)
Permit: _Y ---e~ usses: _Y _N 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y _N
Plumber's Indiana
IIi //1
J,l-'/ I
__ L.-.-.!
biGense~_____J
o
o
POST & BEAM
BASEMENT
WALKOUT:_Y_N
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.
I, 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 \vill comply with, 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 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 occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
J01!:;,'~ (/' MAy ZrLl//!./ '--- -S~-l~'-Oc;;,
Signature of OWne r horized Agent Print 1iiin!---....
OFFICEUSEONLY:****************************************************~~*****************
Filing Fees: / ::s -;:;. 5 U
INSPECTIONS REQUIRED: I 00
Base Inspections: / r'J 0 .
/
Cert. of Occupancy:
Rough In
Lower Footing Under Slab
Meter Base Final @
# Charged Re-
Reviews
Upper Footing
P R I F . 11 Additional Fees
..... . /0
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