HomeMy WebLinkAbout06070006 Application
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City of Carmel/Clay Township Permit #:01dfT OOO(p
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, S. Two Family: New Structures, Additions, Remodels, S. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
s. PROJECT
INFO:
SEWER UTILITY
PROVIDER: C......
STREET ADDRESS
s....c.
r'\ootU: Ri:>.
PHONE
FAX
290- ooz.z..
2.fD -()O '"
CITY
STATE
.:r-V
ZIP
'1t..:L7 t!
BUILDER'S EMAIL ADDRESS
r. c.. 7i~;'
BEST METHOD OF CONTACT:
!t,6.1 .Me T C-c II
C?-3NO
NAME
5'7""........"
-L..of tHo
LOT #
vli.N EST.,..1rs-
SUBDIVISION NAME
147.r
ADDRESS OF CONSTRumON
PHONE
"<t Cf - 2..8 S-I
FAX
,
s 14 7C-
WATER UTILITY
PROVIDER:
c....... __-' I
CITY
STATE
(;; /11.,/ :TN.
ZIP
032-
SECTION
ZONING:
"D
r
~ 3~g
SQUARE
FOOTAGE:
1
ESTIMATED COST.dF'CJ:!N , "
(EXCLUDING L.A~9VALlJ!'l; (r;; i"" On. \'..x ~-:!:, '. i
II! I L_~ '-.'-::V l: . \_~ I, '"
1'[1./ I -'iil Iii
I r_\ II il! i Ii
I; \. I.' !"
PLUMBING CONT~CTOR: J LUUO i:U/i
l. . .J L_'" j
,
,
i
___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:
i:M'"t\ESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
!W'"'"ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATIACHED GARAGE
o DEMOLITION
Plu
Which plumbing codes will be applied to the construction:
o International Residential Code wjIndiana Amendments
o Uniform Plumbing Code wjIndiana Amendments
(Multi.Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
/' Manufactured /'
_Y.L..N Trusses: _Y LN
L ./ ~CRAWLSPACE
Lot Split: _Y ~N Sump Pump: _Y ~N r;d-"'"SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must he completed (CertiHcate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits arc subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agrec that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply \vith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -199r (Z-289) and amendments, adopted under authority of 1.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. J further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Occup,"mcy has been issued by the Department of Community Services, Carmel, Indiana.
~" ~ lJ,..ft!ljf t. ~,71. \14.""5 7-S-. ""
Signature of Owner or Authorized Agent Print \ Date
OFFICE USE ONLY: ******************************************~;::'*****-.**:*....~1C****** .**
Filing Fees: /-114 / 36-'.-5 u .:z
G :NSP~ONS REQUIRED: .-, / ~ edRe'"
Base Inspections: / (p (., ') 6 '.--.,'
pp"r F oting Lo er Footing Under Slab ' _ ReViews
- ~ Cert. of Occupancy: :5 3. 5'0
~ Rouah ~ Meter Base . I Site
_ ~ Additional Fees
Reviewedl
S:PermitsjFOf
o
o
POST & BEAM
BASEMENT ./'
WALKOUT:_Y ~N
**
nity Services (Date)