HomeMy WebLinkAbout06060217 Application
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City of Carmel/Clay Township ~ Permlt#: ~ 02'
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
\
d.
PROPERTY
OWNER:
NAME
4)
1-/-8
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
lOT #
2-r:
~
A-v~
PROVIDER:
WATER UTILITY
PROVIDER: c.A(.2..N\EL
PHONE
FAX
51
STATE ZIP
;;0 . 2-.)1)
,"'--'-
FAX
STATE ZIP
SECTION ZONING:
puD
SQUARE
FOOTAGE: 21 S-O
CITY
ESTIMATED COST OF CONSTRUcnON:
(EXCLUOING LANO VALUE) [ Z ro 0 0 0
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSIDN / BZA / BPW DOCKET iN I LL ~ E:)C cp..v 4-r-(.., I:r
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF IMPROVEMENT: ING CONTRACTOR:
~ NEW STRUCTURE ;l$J.t SM
o ROOM ADDITION(S) Plumb r{j;,- ndlp~tate License #:
g ~~~~DITION(S) G'P 6-I.o,,:t~.:- I
o ACCESSORY BUILDING Which plumbing codes 'wiQ.."""':Il.~~ the construction:
o DETACHED GARAGE 0 International Re5identi~~J/Indiana Amendments
o ATTACHED GARAGE
o E 0 roON 0 Uniform Plumbing Code wI In na Amendments
D M L I"fl:, (Multi-Family Construction Code)
M f d SI.J6;;l:A,SE:.D FOUNDATION TYPE: (Check all that apply for the new
anu acture Ct to '~OI",on5truction area)
_Y LN Trusses: D~Y~~ ry~
1"\, .....,..,.,. -, 'S', 'IJ/jQ WLSPACE 0 POST & BEAM
Lot Split; _ Y..,.e..N Sump Pumrt.Jy ~~/(! ClI)O'I)Ce 0 BASEMENT
Does any part of the property lie within a specia'r'f1c@Jl" ;Q, I ~II V'll; WALKOUT:_ Y_N
For Single Family and Two Family dwellings. additions, remodels, al}(jq;ks-t~p''] ~~~~. this'~it is valid only if construction commences
within 180 days of the date of iss ancc of the building permit, and.M~)_~c(tM.pff}!c(I~'Ji;:;~e of Occupancy issued) within 18 months of the
issuance date. Class I structure p milS arc subject to the General AdminiSfii.l~.xf RUlcl"@gIndiana(See675IACI2)regardingeXPiration
time frames for beginning and completing co " '.
I. the under' . ee that an onstruction, reconstruction, enlargement, rdocation, or alteration crure, or any change in the use of land or
struel requested t this app arian will comply with, and conform to, all applicable laws of the Stare of Indiana. and the "Zoning Ordinance of Carmel
In a -199r (2- 9) and a dments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
ereto. urth certify that 1 kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the constructio will t be
used or nti! a C icaCL' of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
~. Ji2.lA-N ~trJe
Print
OFFICEUSEONL : ********************************************)***************************
Filing Fees: ~ () 'i. 00
ECTIONS REQUIR - ,..., "f .riV
Base Inspections: ""7..; I I . :, [
Lower Footing K-? 50
Cert. of Occupancy: , - ) -.:> 6
A!,-q ~.l:1 p~J d Addibonal Fees
TAL: ,00
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
..er. TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Signature 0
nal
0&L- uJi.R.I.F.:
Reviewed/Approved: Dept. of Community Services (Date)
S:PefmitsjForms{ILP RESIDENTIAL
Fee Received by:
~ J-j)
Date
# Charged Re-
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