HomeMy WebLinkAbout06060213 Application
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City of Carmel/Clay Township \jJ.~ Permit #: ()lQDfo01J3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of NAME
RECORD:
PROPERTY
OWNER:
STREET ADDRESS
FAX
3;1-)-1
STATE ZIP
/ ;J C{ G 2:5CJ
I'U.
FAX
STATE
ZIP
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER: c.MMC L
SECTION
ZONING:
'PD
SQUARE
FOOTAGE:L9'( /
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION f BZAf BPW DOCKET IN lL.L.5 EX C A-I/k-nNtr
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) I {P 0 (;:> 0 0
TYPE OF IMPROVEMENT:
,52A NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
o DETACHED GARAGE [t2(International Residential Code wfIndiana Amendments
8 ~~~CL~i~o~RAGE 0 Unifonn Plumbing Code wfIndiana Amendments
Ii!::LF (Multi-Family Construction Code)
S ~. -ASCD t;:r."
M f ct d UbNct to c ~ 'FU~illON TYPE: (Check all that apply for the new
anu a ure 0fi7~ tr cI ~"'" .
_ Y -d-N Trusses: ~fh--=q{ State I'lr;/j ~)i~,;''''''UCnOAL
,-, nc arfJ1JL~L:jpM5u1 rn POST&BEAM
Lot Split: _ Y "<- N Sump Pump: Cln,>f ~N CO!v,~ Odes. 8tJOllflJ BASEMENT
Does any part of the property lie within a special Flood de~~ffiM@_ a .!..J3JE I WALKOlJT: Y N
For Single Family and Two Family dwellings, additions. remodels, and/or ac fu.1titures, [Q~~fid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed~ertificate o{dt1:Ll/.hi'cy 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
I, the undersigned, agree t16, any construction, r:~:~;;~~ft~\~.,; ~r ;i' O:t'ructure, or any change in the use of land Of
structures requested by thlslapplication will comply with,l..nw,~r~J " . Indiana, and the "Zoning Ordinance of Carmel
Indi 9" (Z~289) amendments, adopted under authority of LC. 36~7 et scq, General Assemb yo e State of Indiana, and all Acts amenda~ory
ereta. I rther certify, at only kitchen: bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will ot be
used cupied an. Cerci!icate of Oc~upancy has been issue'1?g. ~ment o~U~y/ervices, Carmel, India~i. .{,
zed Agent Print
OFFICE USE ON Y: *************************************************~**i't\***************
Filing Fees: ((? <3 -.::) . U
SPECTIONS REQUIRED: 'I "7. .r:::- ""'" # Charged Re-
Base Inspections: b--L_ 0-LL
Lower Footing 3 '0 ReViews
Cert. of Occupancy:
~
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
{f5jL TOWN HOME
tJ TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
PLUMBING CONTRACTOR:
'PAuL E 5M l-rH
Plumber's Indiana State License #:
CP9lO \ i--"::V:t I
Site
P.R.I.F.:
d TOTAL:
tVJ 4..- h
Fee R d by: L.
Reviewed/Approved: Dept. of Community Services (Date)
S:~rmits!FormsjILP RESIDENTIAL