HomeMy WebLinkAbout06060034 Application
lJ.&.~. . 311.
City of Carmel/Clay Township . Permit #:Dl-,O bOO T
RESIDENTIAL IMPROVEMENT LOCA ON PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PHONE
'(( -2Y6'L
FAX
r1'6 -lfLLY
STREET ADDREn. . _
70 <'. )
BUILDER'S ~AIL ADD~ESS
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STATE ;v-:
BEST METHOD OF CONTACT:
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ZIP
YU'tt.d
PROPERTY
OWNER:
NAME
FAX
STREET ADDRESS
CITY
STATE
ZIP
(j 'f
SUBDIVISION NAME
~Jl
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SECTlON I
ZONING: AJ
,1'--2-
LOCATION
&. PROJECT
INFO:
LOT #
SEWER UTILITY
PROVIDER:
ADDRESS OF CONSTRUCTION
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Which plumbing codes will be appli to the construction: ~. ~
.. v
n ematlonal Residential Code wI Indiana Amendments"
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
WATER UTILITY
PROVIDER:
NAME OF lfTlLITY EXCAVATION CONTRACTOR; PLAN COMMISSIO
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC
TYPE OF/CONSTRUCTION:
c::s--/sINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPRO
G--'N EW sT.
o ROOM ONeS)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDIN
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PROJECT INFORMATION:
Early Release c;.../" Manufactured ./ FOUNDATION TYPE:
P . N T _~Y _N construction area)
erm,t: _Y _ russes: ~WLSPACE
Lot Split: _Y A Sump Pump: ~ _N I3""SLAB
Does any part of the property lie within a special Flood designation area: _Y ---1'f'
(Check all that apply for the new
o POST & BEAM
~ASEMENT
WALKOLrr:_ Y 1'J
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 complctcd (Certificate of Occupancy issued) within 18 months of the
issuance date. Class 1 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 .....ill 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 LC. 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 ace ied umil a _erti/"icate of Occupancy has been issued by t~epartmcnt of Community Services. Carmel, Indiana.
7 . j( t.. {/lv C~ 6r2 -0'6
51g ure of Owner or Authorized gent Print' Date
OFFICE USE ONLY: ********************* ******************* ********* !.~W~***************
FIling Fees: ~,)r/: (' (/
~PECTlONS REQUIRED: ."-" .-; 7 ___/1
~ Base Inspections: ~ / ~ .) u
pper Fo . g ~wer Foot!.!!Jl J!n.!!..er Slab ~ SZ)
G' - '\ Cert. of Occupancy: ,
~CMetti)iase Final .......site /c/G! cJ 0
~' P.R.I.F.:
WJL~
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL
# Charged Re-
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Additional Fees
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