HomeMy WebLinkAbout06070067 Application
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City of Ca~el/ Clay Township Permit #: '() ~o 1700&7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
.\\,C!~
E
SsIree\-
PHONE
3\1- -
~
LOCATION
&. PROJECT
INFO:
cm
\
~TE
~\O'Nl.
ZIP
1.\
1o~ A~~
LOT #
FAX
311.\- m-
1..03 ZIP
PROPERTY
OWNER:
SEWER UTILITY
PROVIDER: C\\<W
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSIO I BPW DOCKET \1 \ \ _'
NUMBERS; TAC OATE(S); ANOIOR COUNTY WELL ANOIOR SEPTIC PERMIT #'5 (IF APPLICABLE): ,0. \~ .- t1e.\:\
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY &' NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDITION(S)
~ # of Units: 0 REMODEL
IX! MULTI-FAMILY
# of units::::.J:BELEASED F~ ~~I- , ~\~~
o RESIDENTIAL (F<Subject to compli!'rC~ffi ~~~ns
Additions, Remodels, Etc.bl State ul ~ Iii.
PROJECTINFORMA~T OF COMMUNITY SERVICES
Early Release CITY OF C~!.J&JJW TOWNSHIP FOUNDATION TYPE: (Check all that apply for the new
Permit: Y VN Tru$!lll9~ANA Y VN construction area)
- --:-.-<e - - 0 j:RAWLSPACE
Lot Split: _Y ~N Sump Pump: _Y ~ CB'SLAB
Does any part of the property lie within a special Flood designation area: _Y V"'N
PLUMBING CONTRACTOR:
1..-1:\ '(l\<ttoN(i"11
Plumber's Indiana State License #:
\oal~lG~
Which plumbing codes will be ilPplied to the construction:
o International Residential Code wI Indiana Amendments
M Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
o
o
POST & BEAM
BASEMENT
WALKOUT:_ Y "./ N
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 be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are 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, agree 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 - 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
thereto. I further certify that only kitchen, bath, and floor drains afe connected to the sanitary sewer. I further certify that the construction will not be
u d occupi until a Certi~c teofOccupancyhaB been issued 3J\~~r~;~~unitY Services. Carmel. Indiana. 7 /I~ 1Ci.tJ
t re of Owner or Autho,ized Age t Print 5 Date .
E USE ONLY: ************************************************************************
Filing Fees: / /f..~'7. 00
PECTIONS REQUIRED: In O~. 00
Base Inspections: 1.1-- ~
Cert. of Occupancy: ?-.. ) . 0 0
SOtt'7 . 00
4 ~ 3'6, 00
17, 1-)/1 a A-r(
# Charged Re-
Reviews
P.R.I.F.:
Additional Fees
TOTAL:
:e Recei~.d ~
7/24/(/(,
Reviewed/
S:PermltsjFor