HomeMy WebLinkAbout06060053 Application
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City ojCa;;;'ellClay TownshipPlans 'f~bDbOOS I Permit #:tJ(-,f>(;,(jO 53
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
RII
PHONE
( 'vi' -29&2-
STATE
~,u;
FJ>j(
YO- 'iZz.y
ZIP
( :to 2..~(tJ
BEST METHOD OF CONTACT:
C."" ~P'"" J
PROPERTY
OWNER:
NAME
PHONE
FJ>j(
STREET ADDRESS
CITY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT # 7';; 'I SUBDIVISION NAME !/; IIa.
ADDRESS OF CONSTRUCTION
2. tV:?" ~t
SECTION
~ Cti ~U7-
ZQNIN. I
(-,c
SQUARE 72 0
FOOTAGE: e:J
SEWER UTIUTY WATER UTILITY
PROVIOER: PROVIOER: ::IJ1
NAME OF UTILITY EXCAV ON CONTRACTOR; PLAN COMMISSION / BZA I BP OCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL~j~ SEPTIC PERMIT #'S (IF APPLICABLE): ~ _(' ~ / v/<-
TYPE OF CONSTRUCTION: /{<t: :" MPROVEMENT: PLUMBING CONTRACTOR:
o SINGLE FAMILY //:::'~:/" , RUCTURE
o TOWN HOME //;>,'> 0 '\~ DDITION(S) Plumber's Indiana State License #:
o TWO FAMILY /-1"!J \0' \W P CH A DmON(S)
# of UnIts<~ ";' --' 'Q "Gl 0 .R MOD
~LTI~F.A61Il:Y)" / C;;;--' ACC ORY BUILDING
# of ih11~ 0; ::::,~ /G--C ACHED GARAGE
RESIDEN~J - ATTACHED GARAGE
Additions. Re ~ }tcV DEMOLmON
ElF RM ~\/
ESTIMATED COST OF CONSTRUcnON: ~-- U 0
(EXCLUDING LAND VALUE) ___/-) V v J, '-
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
./
Y N
-::::<; 0 CRAWLSPACE 0
Lot Split: Sump Pump: _Y _N B-"5LAB ' 0
Does any part of the property lie within a special Flood designation area: _ Y ~
Manufactured
Trusses:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
POST & BEAM
BASEMENT ,~
WALKOIJT:_ Y ~N
For Sin'gle FanfR:EW~6)1f1;@R:_I:!l~(!gf'U;, and/or accessory structures, this permit is valid only if construction commences
within 180 d'SEitYj~411l(;~ fWRcW ~.. .' d must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I straltg'te f1!f!lml~ re ~J ~~~'fAdministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
a e an OCa[ihiPFt~es for beginning and completing construction.
I, the undersignD5g?tf GFa~QM:MWNJ~rSfPR%I4@fESement, relocation, or alteration of a structure, or any change in the use of land or
structures req~~ FI!~ml"il,I ~~h:'~mMO' all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
-Indiana -1993""'{Z~2r,9}ahd ~'e't\cHXHrrtJd d!NJO~.b~l1br~. 36-7 et scq, General Assembly of the State of Indiana, and all Acts amendatory
,~.thereto. I further certify that only k.i~hA d floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occ ied until a Ci tificate of Occupancy has been issued by th artment of Community Services, Carmel, Indiana.
Pri
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5--2-'Z-()6
Date
~
OFFICE USE ONLY: *************** ****** * *** *** ****************J*~*****,*A******************
Filing Fees: _33.;? U
INSPECTIONS REQUIRED: . / ---0
r-:: ~ Base Inspections: / b (; 0 ) # Charged Re-
,--l!pper Fo g Lower Footing Under Slab ' _ '/1 ReViews
~ Cert, of Occupancy: .s ?, '>' V
CRouah'in Meter Base Final-Site
P.R.I.F.: Additional Fees
TOTAL" g '3:)'35"0
't.~>t(:J if kbt.u~ '/i70),
"
Reviewed/Approve: Dept. of Community Services
S:Permits/FormS/ILP RES! ENTlAL
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