HomeMy WebLinkAbout06070063 Application
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City ojCariflel/Clay Township Permit #: If:' ,uO~3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
1')"ME,
Uj\\\<l
PROPERTY
OWNER:
10~ fu~
LOCATION LOT #
&. PROJECT
INFO:
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We:\-
PHONE
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CITY
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FAA
3-\~tB3-Lfu I
. ZIP
18k.Q
Z~Ot
SQUARE
FOOTAGE.
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE) 3-'0 l'OCl
SEWER UTILITY
PROVIDER: ~
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSIO B
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PE
Manufactured FOUNDATION TYPE: (Check all that apply for the new
. ./' construction area)
Trusses: ~N
nIjC:xU\:'./;:; 0 CRAWLSPACE 0 POST & BEAM
Sum~,b~" ::;;;:)\a \~N G;YSLAB 0 BASEMENT
I\iGlftMn..iM~pe'Ci\il~IOOd designation area: _Y vN WALKOUT:_Y v N
For Single Family a~ . 0 ~~c;t\QMmi' ,~~.~~~. an~{~ccessory structures, this permit is valid only if construction commences
within 180 days of Se'aalff(jfi~'.!~~itJ.\i t ~rn?~ p~~~lDlil~'be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure e~~ ~ecy.t'\1l1:{ G\:~r1J Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
nt::f'\ t\f\f.vrt.Hrames for beginning and completing construction.
I, the undersigned, agreMtat a~~~\oP1t\r\~~~ion, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested bY6~pl;tation will cdID'l>'}> with, and conform to, all applicable Jaws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z- 289) and amendments, adopted under authority of I.C. 36-7 er seq, General Assembly of the State of Indiana, and all Acts amendatory
there 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
CUPie~ u iI a Certjfjca~e fOccupancyhas been issued by' t~\~l'~;;::~unity Services, Carmel, Indiana. ....., J I~I ~
o Owner or Authorized A nt Print Date I
SEONLY:*****************************************************~******************
Filing Fees: 1'157. Ou
I PECTIONS REQUIRED: //'OOFl, 00
Base Inspections: W U
Cert. of Occupancy: ;Z /1 . () ()
SO'f'f 00
TOTAL: .:t$ ~ 3)~ .00
..J Mti- 11, t,,J-Il~ 7//'z/~/(J~
(){)(, Fee R~d by: J.. v
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
(it{ MULTI-FAMILY"
# of Units: '-I
CJ RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y VN
_Y _v1J
\!()~- ~e\o
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACTOR:
L'b ~~(\,('(\ \
Plumber's Indiana State License #:
\ (XilLAu3
~h plumbing codes will be applied to the construction:
W'}ntemational Residential Code wI Indiana Amendments
CVUniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
# Charged Re-
Reviews
P.R.J.F,:
Additional Fees
Reviewed Approved: Dept. of Community Se
S:Permits/Fo sjILP RESIDENTIAL