HomeMy WebLinkAbout06060219 Application
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
llo PROJECT
INFO:
I. L~ ~ . Of ()"'l/O
City of Carmel/Clay Township l,lI Permit #: 1l10h 0< I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llo Two Family: New Structures, Additions, Remodels, llo Accessory Structures
FAX
l'v ic:.hei\e'2:x\o.~f:'e<
STREET ADDRESS
i4\l.>o C-he.tL 'Tle~ Rood
cm
CC.~i
STATE
Il--i
ZIP
4-1.,,03
BUILDER'S EMAIL ADDRESS
mic.' '='ho.H:C,~ic6. COrY>
NAME PHONE
BEST METHOD OF CONTACT:
e<'rOil 0'- ce:il 401- \480
FAX
STREET ADDRESS
cm
CC1. meJ
STATE
Il---l
ZIP
4-l<D33-L?1o \ I
I,ee-~
LOT #
SUBDIVISION NAME SECTlON
ZONING:
I !e~ R-ocd Co.!r('e\ IN 4lD033
SQUARE ',,\-?rt::.y .
FOOTAGE: ..
SEWER UTILITY
PROVIDER: ~e c:.
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I aZA / BPW DOCKET
NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT ,'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
@ ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING Which plumbing codes wm
o DETACHED GARAGE 0 Intemational Resident I Code w/
o ATTACHED GARAGE " "
o Rm:ti.Dl$ll6~ FOR CON~il:If1l111f11t~blng Code d.ana Amendments
'h 11'(f.lUJ~fli\\'1l\l\s:onstrucllon Code)
PROJECT INFORMATION: Subject to compliance Wit a reg
M f ct d of State and Local aDDNI>ATION TYPE: (Check all that apply for the new
Early Release anu a ure .....'~IiS. '
Permit: _Y _<iJ TrussesDEPT ~MUNI"fl\I>'8ffn,:,~, )}
Lot Split: _y~ sumpGl~:OF~~/CLA~~, 6
Does any part of the property lie within a special Flood IIljQ~{}~~n area: _ Y ----&
PLUMBING CO NT ,
I-JA
Plumber's Indiana
POST & BEAM
BASEMENT
WAlKOUT:_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.
t, 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 Cannel
Indiana -199r (ZI289) and amendments, adopted under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. 1 further certify that only kitchen, bath. and floor drains are connected to the sanitary se\ver. I further certify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Community Services. Carmel. Indiana.
L
OFFICEUSEONLY:************************************************************************
Filing Fees: ..;);).. 7, -s?
INSPECTIONS REQUIRED: / "- /. -A1
......r;:::: ~ Base Inspections: _ (9 '" ~
( upper Footi!!.ll Lower Footing Under Slab 51
' ~ Cert. of Occupancy: S 3. _0
c-;jjEjjj;;~' ,~ '~':OTA~~:l sg -"~,,~
Reviewed/Approved: Dept. of Community Services (Date) C-/~~ ~ _
S:Permits!formsjILP RESIDENTIAL Fee Received by:
~\cl\d\e. L,~f'rer
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