HomeMy WebLinkAbout06070083 Application
City of Carmel/Clay Township Permit #: {Lo7009;3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
':J::1.tv I 1::>
('V\~!>
STREET ADDRESS
/SI/ <t>1If:t;,.}sl?,p,.~ J::Yz.-
BUILDER'S EMAIL ADDRESS
PROPERTY
OWNER:
NAME
STREET ADDRESS
IJ'II' 4Jva~J8i'(l,e')<;;H
LOCATION
&. PROJECT
INFO:
LOT #
f7
SEWER-tlTltll Y , .. co t
PROVIDER: C /1.....--
"PL-
SUBDIVISION NAME
Co
tt.MJ~r:
PHONE
317 ?'1R 2A>CJ 7
CITY
c.a#-/fI/vL-
STATE
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FAX
ZIP
$16",'3'3
BEST METHOD OF CONTACf:
?Yi' :?.-C07
PHONE
CITY
Cf'iL/>tI:-L
-d;J
ADDRESS OF CONSTRUCTlON
S-II 6JuE.f;tJfE..~Kk 'J?/-/
mrnrorr[ITV
~l:B.QVIDER.:. ~'-
SECTION
J
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc,)
PROJECT INFORMATION:
Early Release
Permit:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
~ PORCH ADDITION(S)
~ REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
FAX
ZIP
Y('c> 33
C --zomr;r;:-g _ (- ~
~~
Plumber's Indiana State License #:
;.
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured .,/
_Y _N Trusses: Y ~
o CRAWLSPACE
Lot Split: _ Y ./ N Sump pump:' Y _N [JJ SLAB
Does any part of the property lie within a s d designation area: Y ./ N
o
o
POST & BEAM
BASEMENT
WALKOUT:
Y /N
For Single Fa . 0 a.l!!!!Ylaw~ A~tr'I' t.Rtifl~, and/or accessory structures, this permit is valid only if construction commences
. within 180 d~a;~ M.~g!HWlllitR~oft'1il ~~ in permit, and must be completed (Certificate of Occupancy issued) within 18 months ofthe
Issuance date. Class I strOholaifemfiQ hi2gimj ~Q 'e Gen~~AdminifJ'BU lmW .S. . I . IJ1.: t (~. e,<;.. . 7..~. lAC 12) regarding expiration
nEP~F COMMUNIP\fl<$IDlil:V!G~ninga . I s I!N,~ ~~ ~
1, the undersi~~as;ree t '}t...aRY-'Fr2?tJiUqj~W1~~~ptent, r at ,0 E.. 4io~f'Change in the use of land or
structures req~dcMJ IS ~,EUY~~ c ~ 'wilh~ll(! ~oI'i1~r'~ to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993~ (2- 289) and amendmtN~ under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
used or oc ied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
. -:::? ~0.P L. /'J?S;-/lP 7-/7- 06
Date
OFFICE USE ONLY: ********
****************~.~****~**************
Fees: . ?J ,7
( .
B e Inspections:
Under Slab
C ROU9~ Meter Base ~ Site
Cert. of Occu pa ncy:
P,RJ.F,:
/ CG 50
( - .
5:). Sf}
~
~eviewed/Appr ed: Dept. of Community Services
\ Permits/Forms!lLP RESIDENTIAL
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7-/Q-ob
(Date)
# Charged Re-
Reviews
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Additional Fees
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