HomeMy WebLinkAbout06060050 Application
City of Carmel/Clay Township U~rmit #: fJ&V f..t!J11 tfJ
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
LOT'l_ SUBDIVISION NAME
(0 VtlJ...l>4,'Z.. oW: WC-Sr Cl.A
ADDRESS OF CONSTRUCTION
135 9 A {!>lC:.ltCORN
SEWER lJT1LITY WATER UTILITY
PROVIOER: /11'-'Rw 0 PROVIOER: IN D "f
BUILDER of
RECORD:
NAME
1)ou '"Buss~ '&.11~ "::We-
STREET ADDRESS
~t.EC~ "De.
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
5AMfL.
STREET ADDRESS
LOCATION
llr. PROJECT
INFO:
PHONE
( , 4 ~Ce
CITY
CA 'gMEL
FAX
fa 2~"2-7
~2
STATE
IN
BEST METHOD OF ~Acr:
Ceu, 14 W070
ZIP
PHONE
FAX
CITY
STATE
ZIP
SECTlON
ZONVU D
SQUARE / {/' "
FOOTAGE: (0 ~
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
NAME OF umLlTY EXCAVATION CONTRACTOR'
NUMBERS; TAC DATE(S); AND/OR cau
SSION I BZA / BPW DOCKET
C PERMIT #'S (IF APPLICABLE): P€.TI\ :J"oH-N
o
o
PR
0:0.-
PLUMBING CONTRACTOR:
E'DS Av..eJltC/UJ '!=>wMBf4JG.
Plumber's Indiana State License #:
~ oq tPooe:>0CJ
Which plumbing codes will be applied to the construction:
~ I~termitional Re~idential Code w IIndiana Amendments
o Uniform Plumbing Code ;/Indiana Amendments
(Multi-Family Construction Code)
Early Release Manufactured FOUNDATION TYPE: (Check all that apply for the new
Permit: _ Y )< N Trusses: _ Y 1N construction area)
g CRAWLSPACE
Lot Split: _ Y -2LN Sump Pump: Y Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y-A-N
For Single Fa":liJy and Two Family dwellings, additions, remo.?Fls, and/or accessory structures, this permit is valid only if construction commences
wit~.in 180,<J.i)6oitO~~e!CS~..,.. . . ~$i'AJbJ.i:P"'flQNmd must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date,I1Ift.~~e .... , ,.ltB,tfWl' 1i~f 8 a\tonal Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
subleot ,to (; ,.' 'ilp. .' es for beginning and completing construction.
I, the un~ersigned,agreeCiS1&\.Et~~g~~ CtioIJ..r.~gement, relocation, or alteration of a structure, or any change in the use of land or
structu,{es reqB' ~FP~~'SM\lJ~~m to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" ~ 9 Jra s'.' t (P:. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I fur mEt Eh~~ ~b;,~'mt~connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a CercjJlca~Acyhas been issued e artment of Community Services, Carmel, Indiana.
~:\). ~H'- fa -~ -ocr
S.ignature of Owner or Authorized Agent Print Date
OFFICE USE ON~Y: ********** **************'!'~"'f*****
, ff/ ~Fili 9 f"ees:
INSPECTIONS REQUI' 0
~ Ba pections:
Ci!ePer Foot~ower Footing') Under Slab
_ ::;;;-- _ Cert, of Occupancy:
~ Meter ~ Final Site
:~,
P.R.I.F.:
Reviewed/Ap roved: Dept. of Community Services
S:PermitsfForms/IlP RESIDENTIAL
o POST & BEAM
O!l BASEMENT
WALKOUT:_Y XN
Additional Fees
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