HomeMy WebLinkAbout06060224 Application
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City of Carmel/Clay Township l~\ Permit#: aO~Odct4
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME ~
fA-no ,zNci ()e~$,
STREET ADDRE~ I J '-
'I~ I<.I,Jc/J..b lYe.
BUILDER'S EMAIL ADDRESS
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PHONE
s:
./
~ 22~S
ZIP
4 t'>D3-8
-?'sJ>Juz.s
BEST METHOD OF CONTACT:
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PROPERTY
OWNER:
NAME \
[306 ~ ELt€A
_ A enAo l?L
N. DWltJIKt. '5."-
PHONE
844 -{,. 204
CITY
-:?,J/)-;:b.
FAX
LOCATION
&. PROJECT
INFO:
LOT #
SUBDIVISION NAME
SEmON
ZONING:
STREET ADDRESS
I (j Z 49
ADDRESS OF CONSTRUgIO,,"
!Dz4"i Ii. D.~?t-AwAj2lc Si.
-:ClI:PLs, 4/,z'ih
SQUARE
FOOTAGE: / ~o
SEWER lJT1LITY
PROVIDER:
WATER UTILITY
PROVIDER:
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) Ie ~-
TYPE OF CONSTRUCTION:
~INGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
NAME OF UTILIlY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/~ EPTIe PERMIT #'5 (IF APPLICABLE):
~P~~ROVEMENT:
01),. , EW URE
, r ~ON(S)
d:l ~~S)
- -~ Which plumbing cod 5 will be applied to the construction:
o H 7" ;S>v" 0 International Residential Code wI Indiana Amendments
o /}._~&. _n '%> ~Vh ~ Unifonn Plumbing Code wI Indiana Amendments
o D M0k!;~ ,,-v~.i\ . ~~ ~ulti-Family Construction Code)
PROJECT INFORMATION: .. "b~'r~ "4'
Early Release M/f ct d ~.~ FOUNDATION TYPE: (Check all that apply for the new
Y ,.. /T anu a ure Y ~'\S' /nstruction area)
Permit: ~ russes: .
- - / - - ~ 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y ~ Sump Pump: _Y _ . ~SLAB 0 BASEMENT /'
Does any part of the property lie within a special Flood designation area: _Y l.<-N WALKOUT:_ Y ~ .
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, reconstruc., ent, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application \.'.'ill comply \.. ,and conform to, all applicable laws of the State of Indiana, and the UZoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted der authority of r.c. ~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
theretb. I fu :;lJrtify that only kitchen, bath nd floor drains are conne tcd to the sanitary sewer. I further certify that the construction will not.be
used or cupV :::r~~ ~ ~cc . ancy h:j beenGs~d~ ~;pa&;~nmmunitY Services, Carmel, Indiana. G,/~/cb
Signature of Owner or Authorized Agent 1 rint Da~ '
# Charged Re-
Reviews
Under Slab
****************************************************
/ S"\' /0
I.
/GG. 50
<;3- -:;0
Filing Fees:
Base Inspections:
Cert. of Occupancy:
OFFICE USE ONLY: *********
Site
~
of Community Services (Date)
P.RJ.F.: Additional Fees
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Fee Received by;