HomeMy WebLinkAbout06060114 Application
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{Carmel/Clay Township Permit #: re 11'7-
jIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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.OPERTY
,WNER:
FAX
ZIP
FAX
STATE
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LOCATION
& PROJECT
INFO:
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SUBDIVISION N E SECTION
5PR. I tJC1
ADDRESS OF CONSTRUCTION
. 3 gS -R PPL /1\l(1 tsrooK. WCI... - C,r-U?f\"1l:rL..
SEWER UTILITY
PROVIDER: Cax /"Y) eI
WATER UTILITY
PROVIDER: C~y I'l1 e../
NAME OF lJTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET -;?
NUMBERS; TAC OATE(S); ANOIOR COUN"TY WELL ANOIOR SEPTIC PERMIT #'S (IF APPLICABLE): . rer J'y);.j-
TYPE.,pF CONSTRUCTION: TYPE 9F IMPROVEMENT:
66 SINGLE FAMILY F' e.. ~ NEW STRUCTURE
o TOWN HOME .. '( .hD,J)J ROOM ADDITION(S)
o TWO FAMILY "Restlwa I . tJ PORCH ADDITION(S)
# of Units: ~.::!iLrlS!;lEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
_/ # of Units: 0 DETACHED GARAGE
{5?J RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLITION
FOUNDATION TYPE: (Check d-that apply for the new
constr~ area)
. 'fRAWLSPACE 0 /pOST & BEAM
lS-'SLAB 5l' BASEMENT /'
I?oes any pa''1''?f the prope 118 designation area: _ Y N WALKOUT:_ Y----.L...N
For Single Fam .. .' ~,,' . ;ni\efl~~\t yPR:{sremodels, aAd/or accessory structures, this permit is valid only if construction commences
~thin 180 daYlf~.GA tr.WF.'?)dL(bl:tU' mriip,\Y1\SQ$must be completed (Certificate OfOCCUiQanc is.'n 18 months of the
issuance date. C1i~tn,t~~.~fi"ijJ.h~ S~llft{t(GJlel6~,nn,Lerf!.lMIPinistrative Rules of the State f . egarding expiration
n"CONiiV .' vmf.{,"'1'@'fiIJ-\b\;gl\1h\'ng,andCOmp!n~ "
I, the undersigne.~,~'fd;.a~;,~~~~~to~;~eb\truction, crilargement, relocatj{, ; er t ,)r y change in the use of land or
structures req~es~~h{S"m;~Idt\ v.jJ;J;cp,IM\tAith, and conform to, all applicab 's tatc of Indiana, and the ~Zoning Ordinance of Carmel
Im;liana - 1993":.' (z\lMj!m~ ;mendment!~~d under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certif that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
u~ed or cupied u9' a Cer . c e of Occupancy has been issued by the Department ftommunity Services, Carmel, Indiana. ~
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PROJECT INFORMATION:
Early Release
Permit:
Manufactured
Trusses: -
Lot Split:
Y~
yA
6(kLN
Which plumbing codes will be applied to the constructi
o I~emational Residential Code wI Indiana Amen
~niform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
N
Date:,}'"D_-'
OFFICE USE ONLY: **************************~*******************~*f~**J"******************
, FIling Fees: ![ j E. t'{)
INSPECTI UIRED: ., 17.. "0 # Charged Re-
Base Inspections: DL _ _ ),
/0 ReViews
Cert. of Occupancy: S3. J '
Site
P.R.I.F.:
Additional Fees
CY'7f. ,- ~ H/~ (L (' 7-II-or,
Revlewed/Approv d: Dept. of Community Services (Date)
S;Pefmlts/FormslIlP RESIDENTIAL