HomeMy WebLinkAbout06050224 Application
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City of Carmel/ Clay Township Permit #: Ot.ef},j ()~JT
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME
RECORD:
FAX
- ,).- 0 v-f ,f Ycf- .2 OS
STREET ADDRESS / I ./0 _. .....,
/.).)... w. ~
ZIP
I oj '-'
f
BEST METHOD OF CqNTACT:
PROPERTY
OWNER:
FAX
ZIP
LOCATION
&. PROJECT
INFO:
~
~
ZONING:'
---I
SQUARE
FOOTAGE: .210
TYPE 9F CONSTRUCTION:
e( SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
WATERUTllITY~ ESTlMA~_,COsr_OF_l:ONSTRYGHON:~ =, \5-::\-'
PROVIDER: 5"," W (EXClUDI GTANO,'VALlIEl"', Clt-=d!l'\~ ~f"; ~\ ',!
.,.. If \ Ie.-: \\...17 'P'1.7. ~.",' """'1
1\ ' 1\1 iil
II~ \ i I Iii
'll '\1 U I'i'
PLUMBING G:ONiJiRA i. .
~ ___._~_._..JL_._-
Plumber's Indiana State License #:
L
o ..-NEW STRUCTURE
B' ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLiTION
SI-W
NAME OF UTILIlY EXCAVATION CONTRACTOR; PLAN COMMISSION / aZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (IF APPLICABLE):
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendm'ents
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
~ FOUNDATION TYPE:
Early Release / Manufactured co;:t.)
Permit: Y ~ Trusses: y ~ n ru Ion area
- - ./'" 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
(Check all that apply for the new
o POST & BEAM
o BASEMENT
WAlKOUT:_Y~N
For Single Fami~~;!W~1"il~I@i)Nr:sdal) , and/or accessory structures, this permit is valid only if construction commences
within 180 da~~~'tl'ts'tr~U,.iffi'n?!d;miWlrnegutlai\l,QI\~ must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. cSt.ibl}sR.kt.Q~9~wrm~ (rf.~e' ceO @s~eneral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
.' of Slate an e 'A1pqi,(<Jli5ing and completin constr l:i'O~ ieMk
l.theunderSigne~",n~OOMMlJ s~~a.~~ m,rclocat", ' ~ r . the use of land or
structures request 'thIS .. . 1 c y ,l1'f;@WN ,an applica ,Ia , ,n rdinance of Carinel
lndiana - 199r (Ot aQr~~~r authority of LC. 36~7 ct seq, era ssem Iyof the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitch\N6)\A\lM.lN1oor drains are connected to the sanitary sewer. I further certify that the construction will not be
us~nt~ccupa;'CYhaS bcen iSSU2:;he Dcpartment of Community Scevices. Carmel. Indiana.
IfUJC- I./~..h) ~~ -:fi!t;e, ~
Signature of Owner or Authorized Agent Print D te
OFFICE USE ONLY: ********** *********** **** *.~* ****** **********' ~*_*~U*H****************
~ Filing Fees: ( l(? J . -, v
INSPECTlONS REQUIRED: 1/ J.~~ c:JO
, .~'-- tv l:l Base Inspections: {. I . J ' # Charged Re-
cpper Footi Lower Footing Under Slab b 0 Reviews
- ,-- ..- 0 Cert. of Occupancy: .
~ Meter Base rRnal Site
c.:::.:-::" ~ P.R.I.F.: Additional Fees
1l3(~
~fl_
. Ctf/6I-oCo
(!.r~ /1,~f'J\r '=>-13-06
Reviewed/Appro~ed: Dept. of Community SelVices (Date)
S:Permits/FormS/ILP RESIDENTIAL
~OTAL:
AA/ .
Fee R ved by: iJ7