HomeMy WebLinkAbout06060153 Application
< o' ',~ (?fob' 0(53
~ . " City of Carmel/Clay Township PermIt 1('
':~' RESIDENTIAL IMPROVEMENT ATION PE...RMIT APPLICATION
'''0. 00 For Single Family, Multi-Family, lIr. Two Family: New Structures, Additions, Remodels, lIr. Accessory Structures
ADDRESS OF CONSTRUCTION ~ \. \ SQUARE .
\4 150 '\3:,c.-r\oW "b-.r-, lU<~",<.~ 4(.,\:>'7 FOOTAGE:5lP
~~~~:;'~LITY L\\<w'1> ~~~I~~~LITY~~~ ~~~~6~~GC3-~DO:A~ON=;~';-~QbG"~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET ) ~-~ \~.7'::-~" U~...;.; ,
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): , JJ4 :__~o_"_OO~"".,=~~""_'_.".,
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PLUM ING CONTRA' , : IIIIMI '11 fir' ""0~ :), '::;
1'1 III "iPJ1\ t{ L( !LJj;.oJ " i 11;
W, \ ~n,"". ,1\ '.1 Till
""uc..~ I " iii'll
Plumber's Indiana s~e License'1I':-~~-~~j "II
~ \ O::,(X:)d!J- ~.~" .--Jl
Whi~lumbing codes will be applied to the construction:
ISifintemational Residential Code wI Indiana Amendments
PROJECT INFORMATION:
Early Release / Manufactured FOUNDATION TYPE:
Permit: _Y ~N Trusses: Ly _N construction area)
. ., DC_~~
Lot Split: _y --t-N Sump Pump: :>/--Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y LN
BUILDER of
RECORD:
N~ <-\x::.r
LlQ.
;::\:\- L{ ():)
PROPERTY
OWNER:
NAME
~~
v-
STREET ADDRESS
~C()
LOCATION
lIr. PROJECT
INFO:
LOT #
SUBDIVISION NAME
ON RUCTION:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units;
MULTI-FAMILY
# of Units;
RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPEDF IMPROVEMENT:
...6 NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
o
o
ZIP
STATE
-:r::N
15
BEST METHOD OF CONTAcr:
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FAX
-,s
CITY
STATE
ZIP
"'-\-
ZONI~ _ \
SEmON
\l
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
g-
POST & BEAM
BASEMENT
WALKOUT:_Y V N
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 completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I 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.
1, 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 will 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 I.C. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I fur her certify that only kitchen, bath, and floor drains are connected [0 the sanitary sewer. I further certify that the construction will not be
usedorocc duntil Certifl fOccupancyhasbee Issuedby:s~~m2u:Ic:::scarmel.lnd,"na 10 -L'1-o~
s' Print ~ Date
EUSEONlY:*********************************************~*!~**~******************
Filing Fees; 15~;2o
~ I~NSPE\.110NS REQ~UIRED: Base Inspections: '~ '77 50 # Charged Re-
~~:ootin wer ~- _ Under Slab Cert. of Occupancy; S 3 . ,,() Reviews
--::'_~_~~~-::_ln"l c;:;~ P.R,LF.: /02 (,1 ()O Additional Fees
g 4 -"--1"!OT'f)-: I/~S~ic2.0
(Date) _~ 'xtu..I k-hI.J..k- _ -0< _Ilk:>
Re eived by: ( .
Reviewed/Approved: De t.
S;Permits/Forms/ILP RESIDEtf11A