HomeMy WebLinkAbout06060192 Application
City of Carmel/Clay Township Permit #: 0(0 ()~ f) 11-~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
, '
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PHONE
.-517 -*7 -<:)( 2-7
FAX
0517 -S-7r~'D5'
BUILDER of
RECORD:
NAME ~
CITY
:Frc:: 1ft; Jd.
BEST M
io6a./ . nd
STATE
'J:"':'>
ZIP
D:bS$.
'-'2*
BUILDER'S EMAIL ADDRESS
CA SfE' KMAA1d cg
00 OF CONTACT:
e..-m3-/
7-0127
PROPERTY
OWNER:
NAME
~--.>,1:.
PHONE , 1/ FAX
.~ 3'17-7Cf7-'n?ZfD
CITY
. ~ft,dd
STATE
::r.-u
LOCATION
& PROJECT
INFO:
STREET ADDRESS
307 GI<JMbL~
LOH tJ /
E~',AIe:s
SEWER UTILITY
PROVIDER: C:172.. W D
WATER UTIUTY
PROVIDER: ~duJf13 o/,c
ZONING:
SUBDIVISION NAME
sI~..J LA~
ADDRESS OF CONSTRUS!;!Ql'
12../~y{ '/c:-qc..- u.J
:";f-I'
37
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
.18- SINGLE FAMILY ~ NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
# of units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING Wh;ch plumbing codes will be applied to the construct;on:
# of Units: 0 DETACHED GARAGE 0 Intemational Res;dential Code w/Indiana Amendments
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION )ii:5 Uniform Plumbing Code w/Indiana Amendments
~ (Multi-Family Construclion Code)
PROJECT INFORMATION: ~
FOUNDATION TYPE: (Check all that apply for the new
Earlv: Release Manufactured construction area)
Permit: Y ~Trusses: Y ~
- - ~- 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y _N Sump Pump: _Y ~ SLAB ~~)I;C-' BASEMENT _________
Does any part of the property lie within a special Flood designation area: y' N WALKOUT:_ Y ~
;~.'. 1
Plumber's Indiana State Lic
I0177?
,," :For Smgle Famfi\.&~ i I " m~ffiifl~S and/or accessory structures, thIS permit is valId only If construction commences
~'/ Wlthm 180 da81Stt.betlb:n=a:.f)rripl~~t ~ iJlh crmlt, and must be completed (CertIficate of Occupancy Issued) wIthm IS months ofthe
Issuance date Class r st~~~QBjeC:Q General AdmInistrative Rules of the State of Indiana (See 675 lAC 12) regardmg expiratIon
~ . .... ,..,~- ()MMUNFNMR'\tlG~&n,"gandcomplet,"gconstruwoo
I. the underslgnei?.ijft?el(h'Jr!~n M.sErucnpl)-.'f'RW~K:tVflflp:nt relocation, or alteratIOn of a structure, or any change In the use of land or
structures requtSfT't@fO. ,Q-M1illl tdlit'M"fi.[";~al:~~f'rl'rm to, till applicable laws of the State of Indiana, and the "Zonmg Ordinance of Carmel
Indiana -1993'" (Z~ 289) and ame?dme,~~~nder authority of LC. 36-7 ct seq, General Asscmbly of the State of Indiana, and all Acts amendatory
thereto. I further certify that oruy'kitcnen~~i:h:if{d floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occupahcy has been issued by the Department of Community Services, Carmel. Indiana.
C$'j!J ~ ~~--'L . O"A iJ~ C",,; St~-> ,,/23(0<'"
Signature"""'1h OWner or Authorized Agent Print Date
OFFICEUSEONLY:****************************************************~~!****************
Filing Fees: /05;z.., _ ,/t/
IN~P. ECTIONS REQUIRED: . '.-77. ./ 0 # Charged Re-
~ Base Inspections: =~..L_,J
COpper Fo~ --- -/l ReViews
Cert. of Occupancy: S 3,51/
~Ug~ Site :7- G 00
;:;? C'Y7!-7o
Additional Fees
c V'~;{) Mt'<"'p~ (>?Jf-6~
Reviewed/Appr\lVed: ept. of Community Services (Date)
S;Permits/FormS/ILP RESIDENTIAL
Fee Received bv: