HomeMy WebLinkAbout06070005 Application
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BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
SEWER UTILITY
PROVIDER: LLA 'f
o
o
City of Carmell Clay Township Permit #:()bO 7000 S
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
NAME PHONE FAX
E~TI2\ 1)4': c:::.vs,1"tlJo-\ ~Mc<:' (.,(,.9- 8530 815-'2.51'2..-
STREET ADDRESS cm STATE ZIP
14''''0 <. Lj>. 'f -PS-t2,eA uS 6'-vl> C.AI2.Mel.. IN 1<-.;-2-
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
c,....'^{' <2 e.>-I-.<d:i"-.~-t e..-~c>--~\
NAME PHONE FAX
.:Jos,,,Pti ".. t> -:SOAN CAf"f' !;EU.. t-1,- [;) g Ole
STREET ADDRESS cm STATE ZIP
lit- >>'1- f fLo,M.. N TD<2-i T/4'L- CIQN~v'I<...L.C ,{J 4(,,01-1-
LOT #
SUBDIVISION NAME
y,U-A,," of we"", <:...~-(
SECTION
~.::..::.\
ZONING:
S.\
I(,,~
SQUARE
FOOTAGE: 4v4-r
ADDRESS OF CONSTRUCTION
/ ;, -z. 41 r=fL.4 M-v(Lc
WATER UTILITY
PROVIDER:
81',2-,000
ESTIMATED COST OF CON
(EXCLUDING LAND VALUE)
LAN COMMISSION / BZA I BPW DOCKET
~ND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
~
r l';tI-
PLUMBING CONTRACTOR:
fv1
r;:N STRUCTURE
RO~M ADDITJON(S)
]1RCH ADDITJON(S)
REMODEL
ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
{2.. }-l." t-C
Plumber's Indiana State License #:
I 00 ~Z-a
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
_Y LN Trusses: ~Y _N
o CRAWLSPACE
Lot Split: _Y XN Sump Pump: LY _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y-LN
o
%
POST & BEAM
BASEMENT
WALKOUT:_Y~N
For Single Family and TWljl.EiJ,1Jjl~C.H~mQIB~OdelS' and/or accessory structures, this permit is valid only if construction commences
within e.l.~eraal"~MY:~Wt ~ 'bui . it, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance ~iGCft~~om-pt~iWll\1:i :l!l~'t ~g~eral.Ad.minjstrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
f St te and Local CO~ frames for begmmng and completmg construction.
I. the unde.r:s~e~-&.. ij;~xl.'~p~'i\l'f'Nn'., s,&nlargemem, relocation, or alteration of a structure, or any change in the use of land or
structures @hl~. ttd~hC:~H~h1tI~!Ill~~ h\YiJ:h. ~ciorm to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -~~~~~@IDepG~te ,\W1.M~I~!ty of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. N\trl:hh~~tifyth~it .o~ k.i.:;/iIKIU ~th, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
,~ used or occupied until a Certj~~1JJ'lJccupancy has been issued by the Department of Community Services, Carmel, Indiana.
~..J< fL '---;?VL- CM.-,..( &//",/0,(.
Signature of Owner or Authorized Agent Print Date '
OFFICEUSEONLY:*************************************************A*~~!******************
Filing Fees: / J d- L U(}
INSPECTIONS REQUIRED: . 'J 7 r'rJ
Base Inspections: G>L ---; )__
Under Slab
Cert. of Occupancy: )'). )fJ
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[y r2. 'I! Cj ()(J
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Reviewed/App ved: Dept. of Community Services (Date)
S:Permits!Forms!ILP RESIDENTIAL
# Charged Re.
Reviews
Final
te
Additional Fees