HomeMy WebLinkAbout06060106 Application
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City of Carmel/Clay Township \.)J '~.- Permit #:Ola~~t() / pIP
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
FAX
17-566-2<1-0 I
STATE ZIP
A/ <-
BEST METHOD OF CONTACT:
-e";-L.L 17-75'0). 70
FAX
STATE
ZIP
LOCATION
&. PROJECT
INFO:
LOT #
35
SECTION
(1L.--
ZONING:
17" !J
SEWER UTlLffi
PROVIDER:
t2A
WATER UTlLffi
PROVIDER:
SQUARE
FOOTAGE 1t:==1:7
ESTIMATED COST OF CONSTRumON:" . G,,7S1--
(EXCLUDING LAND VALUE) ....i~ &00
N COMMISSION / BZA / BPW DOCKET
lOR SEPTIC PERMIT #'5 (IF APPLICABLE):
OF IMPROVEMENT: PLUMBING CONTRACTOR:
EW STRUCTURE /IV 6c;';; /lJS
ROM ADDITION(S) Plumber's Indiana State License #: ~ ~
P EMg~~~DITION(S) 'r,C' -' I'''DDllo t, , ~, ( '6 cr 10 -l!J tf) rr "-
ACCESSORY BUILDING ihi h plumbing codes will be applied to the construction:
o DETACHED GARAGE ~~al Residential Code wi Indiana Amendments
~~~~ECO~~S r~P.mbing Code wllndiana Amendments
~ I '0 co~p\ianCe '11111'1 C d~~~lti'FamIIY Construction Code)
subjeC . 10 and LoCa~\ 0 .
Manufact red 0\ SIn OM~..i\UN\ TYPE: (Check all that apply for the new
_Y ./N Trussed:)~P \ O.F;R~I CLA~"ff!JW -
_Y 'N OI'T'Y OF VI ,^ "'A 0 CRAWLSPACE
Lot Split: ---""- Sump_nrp: _Y _IN....... 0 SLAB
Does any part of the property lie withi~ 'a special Flood-~ignation area: _Y tiN
o
o
o
o
P
Early Release
Permit:
g-
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 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.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land Of
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 -1993n (Z- 289) and amendments, adopted under authority of I.c. 36-7 et seq, Gener;u Assembly of the State of Indiana, and aU Acts amendatory
thereto. I further certify that only kitchen, bath, and Roor drains arc connected to the sanitary sewer. I further certify that the construction will not be
used or cupied u il a Certificate of Occupancy has been issued by the Department of Community Services. Carmel, Indiana.
. 606 OIILJE/<'.. &-Oq-O~
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:********************************************~;~***********************
Filing Fees: LflJ::L3. '7 ()
INSPECTIONS REQUIRED: ..
~ ~ Base Inspections: D2'"17 )' 0
pper Footin ~wer ~ Under Slab
Celt. of Occupancy: S- 3. S-O
~ 'Meter ~ Final S' J }
~ ~ P.R.LF.: (d 0(.()O Additional Fees
/uu_u.. / TOT~~.' ffc26SS'.?O
~~.-(C~~
Fee Received by:
# Charged Re-
Reviews
Reviewed/Approved: Dept. of Community Services
S:Permits/Forms{ILP RESIDENTIAl.-
(Date)