HomeMy WebLinkAbout06070052 Application
City of Carmel/Clay Township Permit #:0007005;)...
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
N~
t:/oi/<O W
M~S
c..,~~~
STREET ADDRESS
cf:
.t:o"V\,
PROPERTY
OWNER:
LOCATION LOT #
8r. PROJECT
INFO:
(f/'
Iv ! A/!.a..r.....~
SEWER lJTlUTY
PROVIDER: }.J
NAME OF UTIllTY EXCAVATION CONTRACTOR.... N COMMISSION I aZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY ~,.J.,rP{
o TOWN HOME 'IV
o TWO FAMILY D'~<"
# of units:" ~(JJ v-a
o MULTHAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
~ ROOM ADDITION(S)
o PORCH ADDITION(S)
Q-.. REMODEL
rEJ" ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
STATE
J"/-I
FAX
C;-"~2 7
ZIP
'It. o~7
BEST METHOD OF CONTACT:
"1(t' ~ "')lc.-?~'7
PHONE
1f7-C;75-~N5
FAX
CITY
STATE
.:TN
ZIP
,/{O)L
ZONING:
-
ESTIMATED CO
(EXCLUDING
R
E)
JUL t 3 2006
PLUMBING C
&0>> Bl
llumber! . StllreLlcense:
~-ee-e--3""I-~ ___
.--
Which plumbing codes will be applied to the construction:
~ntemational ~e,~idential Code w IIndiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
'7]
PROJECT INFORMATION:
. Manufactured /' FOUNDATION TYPE: (~h,ck all that apply for the n~w
~:~~i~:elease Y ~ Trusses: _Y ---':::N construction area) ~ f'?r c.a1 -It>.,,~ i:::~
_ - ~ .....-;:: 0 CRAWLSPACE 0 POST&BEAMvl/L
Lot Split: _Y _N Sump Pump: _Y _N [ld"'SLAB ~aYatj~ iii( BASEMENT~
Does any part of the property lie within a special Flood designation area: _Y ~N WALKOur:_ Y_N
For Single Familyfit5~~, " . .. .. '. _ S, e p. s and/or accessory structures, this permit is valid only if construction commences
within 180 days 8Ub;ebi~4)r~~~~hcrM r~M\{l, 9%'ust be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I struct~~t1;taRd~~ GtltieEkneral Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
. m:PT~" '.' r.diiii'~'lif'IN'irt"SelW~e!Sng and completing construction.
I, the undersigned, ~.tHat., . .c'!'JfJ.~nJ~lrdrr;reconstrus;.t~Q:aen1~~l~' relocation, or alteration of a structure, or any change in the use of land OF
structures request0~~ . :AaMetl:;.OJn~, d.nJM\h~~,lill applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana - 1993" (Z-289) and.a~endmen[.1~~~1llt..der 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"RltcheH,1,\ra1, ahd' floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
used or occ ed until a Certifica.te of Occupa.ncyhas been issued by the Department of Community Services, Carmel. Indiana.
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Print
'\ . \"3 . C(.,
Date
OFFICE USE ONLY: ********************************************:1******~*****************
Filing Fees: 7~ 1
INSPECTIONS REQUIRED: f , f
Base Inspections: I I (. 00 # Charged Re-
I I ReVIews
S:; - S()
Upper Footing Lower Footing Under Slab
~Meter Base ~ Site
Cert. of Occupancy:
P.RJ.F.: Additional Fees
a}~Xku-e::(,1 cUI
L3l _ 7- ~S-:-()(-.
Fee ceive by: (
{''''La. f1t~ '7-11-0(,
Reviewed/App/<lVed: Dept. of Community Services (Date)
S:Permit5/FormsjILP RESIDENTIAL
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