HomeMy WebLinkAbout06060196 Application
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City of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLlC~TION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME~~rr
~, fv1 ;e.-I te
STREET ADDRESS
3C:OlP~ E, ~rmel Dr,
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
Qs CCbVL
~f'(\e
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
LOT # 4)--
FAX
57/-:J.7gq
ZIP
'+IoD.33
CITY
-rmd
STATE
^-J
BEST METHOD OF CONTACT:
'.
SfY1It'.1 ke@ Ca~mi!J. ;". l!lV
PHONE
FAX
CITY
STATE
ZIP
SEmON
ZONING:
SQUARE ?~+
FOOTAGe-ODu:.J 1"
SEWER UTILITY
PROVIDER:
WATER UTIL~
PROVIOER: L"-rmei U~t //+,e,
ESTIMATED COST OF CONSTRUCTION: .<C- &-0
(EXCLUDING LAND VALUE) 't' OIJoOO .
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
~ SINGLE FAMILY 0 NEWSTRUCTURE
o TOWN HOME 0 wOM ADDITION(S)
o TWO FAMILY E1'" PORCH ADDITION(S)
# of units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHEDGARAGE
Additions, Remodels, Etc.) 0 DE 'LITION'
PROJECT INFORMATION: . ill Q. cf:-
Early Release / / Man,,:!factu cj)q J
Permit: Y ~~usses: Y N
- - - 0 CRAWLSPACE X POST & BEAM ~
Lot Split: _Y ~N Sump Pump: _ Y _N ")5'::' SLAB ~ LJ BASEMENT ~
Does any part of the property lie within a special Flood designation area: _Y _N WALKOur:_ 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 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 r.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 further certify that the construction will not be
used m up ed un'" a Cert"ic~te of Occ~pancy has been Issued by the ~~;; comm~ty servH' ~;ltl:ana ~ );;L-;h / D 0
orized Agen ELEAS~FOR CONS'!;ro<.; liON Date
*. ~.'.~.~. I *****~*~'**~~**************
otStat!filfiVil iFe~~ Codes. / ~/, So u
NSPECTIONS REQUIRED: DEPT OFCflMWNITY SERVICe::; I II- I/O
er Footing Lower Footing . um~Igj='CAR E ~~'l'bwN31I1r , .
G ' . q:NDi<Ar<JlPfupancy: ,')3. s-a
Meter Base '. Final ..J Site
\ CONOI
NAME OF lJT1LITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
nity Services (Date)
Fee Received by:
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o
Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
OUNDATION TYPE: (Check all that apply for the new
construction area)
# Charged Re-
Reviews
Additional Fees
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