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City of Carmel/Clay Township Permit #: ()(PO&, () 13 g-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME TufF ~heJ s (
RECORD:
PHONE 3/1) 714-)!9~
CITY FATE
oble~ur(le. j 7:. c;Vdfl
BE
Sf!. td1 31.2 - 1377
PHOI).E _ FAX
"&:3I~:)_Ktfb""I~3b
CITY .If'td 5.
PROPERTY
OWNER:
STATE
ItJ
ZIP L/6J.80
LOCATION
& PROJECT
INFO:
SEmON
ZONING:
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION: .l:I. I J I ~o
(EXCLUDING LAND VALUE) ""'.. i:>'
NAME OF lJT1UTY EXCAVATION CONTRACTOR; PLAN COMMISSION f BZA / 8PW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WElL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIOENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
~ ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
P .' BING;(:ONTMtrrOi, n
ilL;
p\lumh r'sJowa,a@~~ice
III \
;,.. I
'4hich p ~es wll app I to theFnstruction:
CQ. International Residential Code wJJhdiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
v: /' FOUNDATION TYPE: (Check all that apply for the new
Early Release Manufactured V t cti )
Permit: Y W Trusses: Y N . cons ru on area
-" ~ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: y. Sump Pump: _ Y V1'f 0 SLAB.' 0 SEMENT _____
I" V BA _y_......-:N.-
Does any part of the property Ie within a special Flood designation area: .,--,--Y --A..N WALKOUT:
For Single FaM~~~ol;t~SN8q.RId(}rI\G.Ns. and/or accessory structures. this permit is valid only if construction commences
. within 180 d~~ .I f\I:JtC8~~'I/I\C/I~ll.iI<WI~llral'ltlmrd m~st.. be completed (Ce.rtim.ic~ 9c J€.:"W'. cd) within 18 months ofth~
Issuanceclate. LIa Y tru~r.ureIH~ml~flresu ~tlR.. CGCneraTAdffilnm !;~ :ue X'ff lAC 12) regardmgexplratlon
OT ~ are ana Loce i"rlt~Wii es for ~~nning d ~ qgi . (, 'b,"
I, the undersig~qe ~aGeMMbiN.I~r&nB-'M!G. ement, re gcatl'O ,or tc;;tion of a structure, or any change in the use of land or
structures req~~~'ti~M'~l~Jft:!! ~\'iJJ ~~1W.t\4KrQlWIlJ:JO' all apphcable laws of the State of Indiana, and the "Zonmg Ordmance of Carmel
Indiana - 1993'"(!:ti~9)1thd~d.i1iPm!;: ld '~ndcHJtf1h~~,'orf.c 36~7 ct seq, General Assembly of the State of IndIana, and all Acts amendatory
thereto I further certify that only kijN9J'A. d floor drams e connected to the saUltary sewer I further certify that the construct!?n WIll not be
\lsed or occupIed unu} a rcificate of Occupancy has been ued by the Department of Community ServIces, Carmel, IndIana /t/ c;
, " Wt./SSf1 1Z'Cljf1-I&i~/ /IJIu-.t
Signature of Owner or Authorized Agent . t Date
INSPECTIONS REQUIRE
Upper Footing Lower Footing
*********************~~******************
.. 9 Fe~s:: t( ( i .0<- 0
Base Ins~ctionS: s-5: :>0 # Charged Re-
r.3 . 50 ReViews
OFFICE USE ONLY: *************
Cert. of Occupancy:
Rough In
Meter Base
Final
Site
P.R.I.F.: Additional Fees
~_7~4~/f~?-O
\'Cl....1 arr
Reviewed/App ved: Dept. of Community Services
S:Pef"mits/Forms/ILP RESIDENTIAL