HomeMy WebLinkAbout06060165 Application
City of Carmel/Clay Township Permit #: (J/.;() it D / (//;
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
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PHONE
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BUILDER'S a.,All ADDRESS
CITY
c.,. nVJe;A
BEST METHOD OF CONTACT:
FAX
Fff-7~(:3
BUILDER of NAME
RECORD:
STREET ADDRESS
':>97~E -.,t f-I; 5'1,
ZIP
441!J~
PROPERTY
OWNER:
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NAME
PHONE
FAX
~ 'J)y,'v-e-
CITY
C<,~(
STATE
.;:r-.JJ
ZIP
LF6o:5:3
LOCATION
llr. PROJECT
INFO:
lOT #
2f/
SUBDIVISION NAME
"VtJOJ!4dJ, .s n'>-/ C
SEmON
..s-
ZONING:
SQUARE
FOOTAGE:~3 ~
SEWER UTILITY
PROVIDER:
ADDRESS OF CONSTRUcrrON
11:J.;15 -:V,,4Jl/4 q;;r.'V'e;
WATER UTILffi
PROVIDER: ~VM ~{
'/>'leI
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE)
, .s- k."oo
~~~~~:S~~~A~g)~~~g~~oC~U~~~l~~~D7g~~~~~Np~:~ :~~I~~~~C:CABLE): im ~ (~~_E~ u _.t~!j _~. IT~\\ I
N R TYPE OF IMPROVEMENT: PLUMBING CONTAACTOR: I jI iti\
i [I, \ I ii' l'i
SINGLE FAMILY 0 NEW STRUCTURE I/o-eSter 1ji~lI",JUN 2 1 2006 i.d I!i
TOWN HOME ~ ROOM ADDITION(S) Plumber's Indiana Sta~Ucense #: II U; i
o TWO FAMILY 0 PORCH ADDITION(S) I" J d (\ .., cr'i L_..._____.,__._.J ._-~ I
# of units: 0 REMODEL i '
o MULTI-FAMILY 0 ACCESSORY BUILDING ~. h'hplum. bi.n gcodeswUlbeappUedtotheconstruction:__, - ..J
.-At of Units: 0 DETACHED GARAGE International Residential Code w/Indiana Amendments
~RESIDENTIAL(For [J
Additions, Remodels, Etc.) ~~~~ifo~ft lUl ~.~ 1i1~{jtv.'. 'M.,., ''l1. !~ilf.Q <:;0.. de w/Indiana Amendments
o ',,",ua'1lli!Vm(Jli<,j ,i&'lll14r~W1MJ<Il;l?nCode)
id 'lrT ~ ~~ l\lI f!ll~lltm
Manufactured FOUNDATION'TYPE: (Check all that apply for the new
^./7 construction area)
/1J()..Y _N Trusses: _Y 6LN
'A Y ~. CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ~N Sump Pump: _Y T"<>N r ~ SLAB 0 BASEMENT
Does any p-~'II'OflIi d designation area: _Y _N WALKOUT:_Y_N
For Single Fami aR ,g~l~~I~!UJ ~~Jattomr:ls, and/or accessory structures, this permit is valid only if construction commences
within 180 ~ thQ oS:.t.~h~iMfihLo.nah~!p'g permit. and must be completed (Certificate of Occupancy issued) within IS months of the
issuance date . ;Ji' ~t(~)'{JM-MeIM~~Pfr~al Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
CITY ()j:' f"'.11 OM I hrhiHr'ahY~Q:ginning and completing construction.
I, the underSIgned, a~e tt!it'lnY"l!~rl~~OIi~emem, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this applicJ.:N:l!)~~ply wi~h: ~~ci~'nt~~~ [0, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (2- 289) and amendments, adopted under authority of I.e. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I ther certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or . upied until a Ce jf} te ()I Dee aneyhas been issued by the Department of Community Services, Carmel, Indiana.
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PROJECT INFORMATION:
Early Release
Permit:
Print
OFFICEUSJONLY:************************************************************************
Filing Fees: / CZ---? <1~
INSPECTIONS REQUIRED: "/ v 0
_ Base Inspections: G c: J # Charged Re-
ePP"er Foot~Lower Footing Under Slab S 0 Reviews
~ y Cert. of Occupancy: ~ 5,
~,,~ Meter Base Final Site P,R,LF,: - Additional Fees
, ~j&:lLj>N;h
~ ro ~'7 'Z vu, '
ReViewed/Appro d: Oept. of Community Services (Oate) .
S:PermrtsjFormS/ILP RESIDENTIAL Fee Received by: