HomeMy WebLinkAbout06060166 Application
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City of Carmel/Clay Township Permit#: O<!DI.fO/~y
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME PHONE FAX
RECORD: CA-S"EY-l3tt2.'nu."" C.Ot/S"Tfl-VC-no,J 'IIIe, r;46- 3:%' ~46-~bBo
STREET ADDRESS cm STATE ZIP
>780 C z.'>"f11 >r, ''''0 IAI"A PO<-I 5 I"; 4602-18
BUILDER'S EMAlL ADDRESS BEST METHOD OF CONTACT:
> (../>,) ty '>(, 3';@ AOL-, cOM 2-81-6eA 3
PROPERTY NAME PHONE FAX
1'l11l::t- '::~IL"'" ~q<;-"f';oo -
OWNER:
STREET ADDRESS em STATE ZIP
7-07 wooOLAr/D LA,..~ CA"-MtL- /,.; "1(,032.
LOCATION LOT # SUBDMSION NAME SECTION ZONING:
&. PROJECT
INFO: ADDRESS OF CONSTRUcnON SQUARE I, 7<;0 ~
30<; WOOI)L-ANO L-4,.,{,- FOOTAGE:
-
SEWER UTILITY 04-' I WATER UTILITY /,,---,,'/P I ESI1MATED COST OF CONSTRUCTION:
PROVIDER: :/ PROVIDER: :: /J (EXCLUDING LAND VALUE) :tq, 'ioo,-
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKEr
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT D'S (IF APPUCABLE): '"..- ~ ,.---::1
~ ~~ r=:::> ,., n f1 .~'_'
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBINGCONT-lj~'Ri\8'!::=;!J \'1 LS111il
[zj SINGLE FAMILY 0 NEW STRUCTURE
0 TOWN HOME 0 ROOM ADDmON(S) ::--::~~ ~.:~~~I
0 TWO FAMILY ~rro t1ITION(S
# of units: RELEASED FO, __'0"~" .' )
0 MULTI FAMILf)ubject to complia,r;;:h ~Ery19PR\qUlall()rlS
- _ ~ ;J;$rSP(l.Y BUILDING
# of Units: of State an Ot. ,C,.". o International Res! ntial tode w'Indiana
o RESIDENTIALrn1!PT OF COM~~~~~~m
Additions, R'eI'r'flb'WCARM El6 CtbIiMbiliti6iNi-JSH I P
PROJECT INFORMATION: INDIANA
Early Release ____Manufactured ~
Permit: _Y _N Trusses: Y N
A /' 0 CRAWLSPACE 0
Lot Split: _Y -f,..N Sump Pump: Y ~ 0 SLAB 0
Does any part of the property lie within a special Flood designation area: _Y C-N-------
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction COde)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
POST & BEAM
BASEMENT
WALKOUT:_Y ~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 pennie, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits ate 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 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 l.c. 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 funher certify that the construction will not be
used or occupied until rcate of Occupancy has been issued by the Depanment of Community Services, Carmel, Indiana.
~ - -..r- >c<>-rr C4ffY (;-,-o{,
Signature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: ** * * **** * *** **** ** *** * ** * ** **** *** * ***** *** * ***..1***** '!' :J.*** * * *** ******* **
Filing Fees: f::3.3, aU
INSPECTIONS REQUIRED: ~<:", '~D # Charged Re-
Base Inspections: ~ U '-'_
Upper Footing Lower Footing Under Slab Reviews
G Cert, of Occupancy:
Rough In Meter Base Final site
P R IF' Additional Fees
',-~ /,;lfuAL: dt ~fJO
~~4!/dJ ~~
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Fee Received by: