HomeMy WebLinkAbout06060049 Application
City afCarmel/Clay Township Permit tiOl:C6Ooi..J9
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lit Two Family: New Structures, Additions, Remodels, lit Accessory Structures
BUILDER of N~ R... ~'S
RECORD:
PHONE
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F~I'6/cnJ..)
STATE ZIP
IJ. -4.10 {)
PROPERTY
OWNER:
NAME
~2'
:'r~'S
BEST METHOD OF CONTACT:
~
~~--95\4
FAX
'h~~lk\
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STATE
'-eN.
ZIP
LOCATION
lit PROJECT
INFO:
STREET ADDRESS
q "dC:>'~ N ",,-__,,:~~C\ \~y"
LOT #
CITY
I\tl
SEmON
I
ZONING:
'3,-1
SQUARE If? 8,"77
FOOTAGE: ~
,~
SEWER UTILITY
PROVIDER: ::Ii?- ' b
NAME OF UTILITY EXCAVATION c~~<?iif;p ~
NU~~RS; TAC DATE(S); A~;~ ~UN~lL
TYP'fOF CONYRUCnON:~/
'rJtJ SINgrf-f~h..7 , .. r_ '~'\:J
is , ~~~,' ~ 'J "
# of '..
o MULTI-F ~ .'
# of Unit
o RESIDENTl" (For
Additions, Re '0
ISSION / BZA / BPW DOCKET
me PERMIT #'5 (IF APPLICABLE):
NEW
RO DDITION(S)
0./ / RCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Which plumbing codes will be applied to the construction:
EX.!nternational Residential Code wI Indiana Amend~ents
I
o Uniform Plumbing Code wi Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release '" Manufactured FOUNDATION TYPE: (Check all that apply for the new
Permit: _Y..I..N Trusses: Ly _N construction area)
. -.lL ' 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y -E...N Sump Pump: LY _N ;I(j SLAB "'$- BASEMENT
Does any part of the property lie within a special Flood designati~ a;ea: _ Y LN WALKOIJT:_ Y LN
For Single Family and . I 1~gf14~i~;I0~accessory structures, this permit is valid only if construction commences
within 180 days of th ~t~<C4)ffl:1C~~lPf'\SriW ~).!~t e completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure rofrStaWa"'~~b Q~efi~'?YIm trative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
nEPT nJ:' r-nflJ1...tlY1F"Iram s'1'('(l~i~ginnmg and completIng constructIOn. .
I, the undersigned, agr;:{tHat ~ ~nsn"l:(~o:M.~ ~JJci{o-Sli8tg4GSSelocation, or alteration of a structure, or any change III the use of land Of
structures requested b}.liIYpl;UJlit~'I ,1Vl ~NTl\.~t51lrcable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~289) and amendments, ad~j(i- r utboh?1 ~f'I~~.~~J;'Ifi seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bHFtI, rains are connected to the sanitary sewer. 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.
~J-m ~\I ~ ~ I\:re-\l lQJ61~
Signature of Owner or Authorized Agent Print Date
/
OFFICE USE ONLY: ************************************************************************
Filing Fees: ~;'~ '1~
INSPECTIONS REQUIRED: '
~ ' ' Base Inspections: " . ) # Charged Re-
~er Foot~ ower Footin Under Slab _ , ~) ReViews
, ~'- Cert, of Occupancy: -> 3 ,') (
Rough In Meter Bas ~al V P,R.I.F,: / ! 0- Co I- C)o ~dditionalFees
. I / d -;J~ ,. a '"'"'1(J
\, tOTAL:~Y,") '--:- /). 1 LL.-
Reviewed/Appro ed: Dept. of Community Services -z:;tz. Z??-i2:-. ' /1L: ~fC'/. '
S:Permit:sjForms/ILP SIDENTIAL Fee Received by: . ........ V
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