HomeMy WebLinkAbout06070062 Application
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City ofCimhel/Clay Township Permit #: l) ~/o 700[0",-
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lk Two Family: New Structures, Additions, Remodels, lk Accessory Structures
BUILDER of
RECORD:
DRc;\~~
PROPERTY
OWNER:
roG
~Ol~(\\\~
LOCATION
lk PROJECT
INFO:
lOT #
SEWER UTIUTY WATER UTI~
PROVIDER' ~ PROVIDER' '- \'\ or: (( \('<'\€\
NAME OF UTIllTY EXCAVATION CONTRACTOR; PLAN COMMISSION 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:
~ MULTI-FAMILYLI
# of Units:---=t--
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
clY' NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PHONE
3
~ITY €
-cRt'O
,..-,SIATE
-L\\
BEST METHOD OF CONTAcr:
\
8i~~'7ed
G3\~
I(C-.s\-CJ. \d<'\BI
c\ ll\{t'M\
ZONIN~
SQUARE., 1"oS"Q
TAGE~
ESTIMATED COST OF CONSTRumON:
(EXCLUDING LAND VALUE) 50J(J, r:i::f0
\f~ . - \.\-e\\
PLUMBING CONTRACTOR:
Lb \net\-o.t\>lb \
Plumber's Indiana State License #:
\001 UlD3
Which plumbing codes will be applied to the construction:
~nternational Residential Code w/lndiana Amendments
~niform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION: :\\O~
Early Release ManufaCbl..,.:\?UC '~.\ S FOUNDATION TYPE: (Check all that apply for the new
_ / C',U\""'~ n.U.\ .\. construction area)
Permit: Y v N T~"" a.~r N
Lot Split: ~\ e1N'3C-~~lJ'~~~~ cod:\'J~S ? ~~:'::LSPACE is ~~~M&E~~M
Does any part of th~~\I6\.a\llti\\\Q ~I ~ ~ti'on area: Y V"'N WALKOUT: Y VN
For Single family and Tw~~~el,,'l~f\~~i~S\ k,emodels. and/or accessory structures, this permit is valid only if construction commences
within 180 days of the d~r i~1pr@'fftf-U'l~ 'P~~mit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I stre,\'i\<<lp'et'Ihits are su~~Ho 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, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land Ot
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of r.C 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
th I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
ed or cupie ntil a Cert icate of Occupancy has been issued by ~\~~tr~~:d:.;ity Services. Carmel. Indiana., / \ 'i 16.0
Print Dati
USE ONLY: *****************************************************~******************
Filing Fees: PIS 7. Ov
INSPECTIONS REQUIRED: / - 00, O(}
.- .', Base Inspections: Ul
Upper Footing Lower Footing "') 1M F\ 0
Cert. of Occupancy: r- ." V
oughIn /'1.IeterB~' ~~ ~O'l1J 0 D
I.....~ ? '=../ P.R.LF.: ..:.J I ,.
TOTAL: jJ. 0 3/6. DO
lo )/fjl.-a...~ 17. 1-.7~-r/~ ~ '7/2(,!of.p
Fee Re~: /; ,
# Charged Re-
Reviews
Additional Fees