HomeMy WebLinkAbout06060178 Application
City of Carmel/Clay Township Permit #: t> /Q 0 CoDl7~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICAl'ION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Str~ctures
BUILDER of NAME PHONE FAX
RECORD: e?-r\2..\~' E co","" -
STREET ADDRESS CITY STATE ZIP
-n::--'il.~kt.:- ~L C :"'l 4- ~..,
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
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PROPERTY NAME PHONE FAX
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OWNER: c
STREET ADDRESS CrTY STATE ZIP
LOCATION LOT # SECTION ZONING:
&. PROJECT C>Se:>
INFO: ADDRESS OF CQNSTRUcnON SQUARE d1
''i? A FOOTAGE:
SEWER umLrTY
PROVIDER: t:/f1l':;vt",~ tv r'R'
WATER UTILITY ESTIMATED COST OF CONSTRUcnON:
PROVIDER: CA7ZMC.-"'Z" t;WI< (EXCLUDING LAND VALUE) ~"i
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000-
NAME OF UTlLTIY eXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEmc PERMIT #'S (IF APPLICABLE): Mt:"t'l ''\""r' t o rllit kLT\ ~
TYPE OF CONSTRUcnON: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
. SINGLE FAMILY !DO NEW STRUCTURE 1:''/ /V!c}oiZE
o TOWN HOME 0 ROOM ADDITION(S) Plumber's Indiana she License #: _
o TWO FAMILY 0 PORCH ADDITION(S) ~-
# of units: 0 Ci>'2.,oc,;j'Lo-5' IviOL-COD':>/
REMODEL ..
o MULTI-FAMILY 0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
# of Units: 0 DETACHED GARAGE . International Residential Code wI Indiana Amendments
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION 0 Uniform Plumbing Code wI Indiana Amendments
(MUlti-Family Construction Code)
PR
~Y -K.N.
Manufactured
Trusses:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
-x.-Y _N
o CRAWLSPACE 0 POST & BEAM
Lot Split: _Y --.iLN Sump Pump: -XY _N 0 SLAB .. BASEMENT
Does any part of ~I!rope!:!y' lie within a sl!eci~lood designation area: _ Y..K.N WALKOUT:_ Y AN
For SWgle Family a1Id ' 11!.n\L0IiJJ;llirlb':-iadlffiw, r bdels. aREIt~mlii..c.~' i . if construction commences
with~O days"'of H e te 0 Issuance 01 the bU1l~ c' it, and 9Hfsj€ttfq"R:J~wd:bfmh.f6\9.lMijytf~ ) within 18 months o,r the
issuance date. Clas H ture permits are sub~ect to t G ral.A~mlni ,s tratff~ffiltIn~e~fltJQJtt_. (See 675 lAC 12) regarding exp,iration
,Iml 'lI"1 ~fra f egmn!!!~ndcom e,Q'f!;f9RW'lk11"lV ~i=RVICFS
I, the undersigned, a e t an~Mi~rClltilim, ~Hstru largerrklt;.Ribc.G n, ~Y~M1dMHr/ b"P & ~trutd.tre, or,an~CPrng,e in [he use of land or
structures requested h pplication ",rjJl comply with, fo~w~P~Mt!tE 1.~dliQW~inMtttiing Ordinance of Carmel
Indiana - 1993" (Z~ 28 ) an rhori ofi.~'3~~~e:t seq, ~ener'alh~)qljllAIJ:: ,,~the State of Indiana, and all Acts amendatory
thereto. I further cert fy that only kitchen, bath, and floor drains e connected to the sanitaryIJ~~~.'iMher certify that the construction will not be
used or_ occuted u"" ' rPrtifirMp nr nrru.nmry h" cd by the Department of Community Services, Carmel. Indiana.
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Print Date 7
Signature of Owner or Authorized Agent
OFFICE USE ONLY: ****************** **************** **********~J:l***********************
Filing Fees: /0-:[ . 70
INSPECTIONS REQUIRED: -'7N .r>?I
.:::-; Base Inspections: ~_ /. '-I U # Charged Re-
wer 00 In -"7! {O Reviews
Cert. of Occupancy: I "-'ere _ . CJ_
-S-3-S0
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Site
P,R,LF,:
Additional Fees
(Date)
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