HomeMy WebLinkAbout06070051 Application
City of Carmel/Clay Township Permit#: fJw0'7Q051
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
~
STREET ADDRESS
LOCATION
llr. PROJECT
INF%,7
LOT #
44'1)
SEW
PROVIDER:
NAME OF UTIU1Y EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
E OF CON UCTJON:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
PHONE
3 II -133- -cn
em S:A-n; \
Z'c>Y\SVIL.L.L ___N
BEST METHOD OF CONTACT:
ZIP
L\ '-"01'
't>
oDE-
PHONE
FAX
em
STATE
ZIP
SECTION
500'
(PC{
(:) D6 ca
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PLUMBING COIilTRACTORr': ---'.._\.......-;11' '":f
"6Rlc::.,.~ SJM!h-l+ t'LLHl.hil0G"llil
Plumber's Indiari~' ~te ~~5ej ~ 2006 ! /' Ul Ilj'
\>c 0 od Ii i J
,
Which plumbing cod will be applied to the construction: I
~temational . .Code.w/Indiana.A",\!nd",~nts
o Uniform Plumbing Cod\! w/Indiana Am\!ndm\!nts
(MUlti-Family Construction Code)
'" Manufactured ~ FOUND~TION TYPE: (Check all that apply for the new
_Y ~N Trusses: N construction area)
" - 0 CRAWLSPACE 0 POST & BEAM ~
Lot Split: _Y ~N Sump Pump: Y _N 0 SLAB fl BASEMENT
Does any part 0 i . esignation area: _Y WALKOl1T:_Y
For Singl~F~~~ ~~~,w:l~f~I::&Ii:Dn&dJor accessory structures, this permit is valid only if construction commences
within 180 days of ~e dator9ffi't~fiefE.' . e~t, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. CI~u~~. ,.~ .. ~inistratiVeRU~esoftheStat~ofIndiana(See675IAC12)regardingexpiration
Ucr' I ~.~- ~L:'. ~~I18 and completmg construcQon.
I, the undersigneh.~ ~g.Orf' @:t2AVu1i ~,relocation, or alteration of a structure, or any change in the use of land or
structures requestea.'8y this application . 9WRly ~th, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (2,289) and amendmen, iptetl"\mder authority of I.e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
theret certify that anI ldtch , and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
u oroccupi .Cerr cate U~CYhasbeeujssue~::~lt~o~sn~:~~(el.lndUm"/ Ir~ /Ob
Print Date ' I-
OFFICEUSEONLY:*********************************************;&******0******************
Filing Fees: ~3 J
INSPECTIONS REQUIRED: "'--0
~ Base Inspections: .-2? 7 ,) # Charged Re-
wer Footing nder Slab -/fJ Reviews
Cert, of Occupancy: :; 3 . .2...:
~ Met,er Basi) ~al S~~) / ' 6 I dO
'-----_ ~ P.R.I.F.: '^- Additional Fees
C~QL J-11$.9-.r 1-/1---4 ~. OTAL': ;l52s,n--: 1?0
'eviewed/Apprdved: Dept.ofCommunityServices' (Date) ~X~~
'~mlts/forms{IlP RESIDENTIAL Fee Rece ed by:
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