HomeMy WebLinkAbout06070153 Application
City of Carmel/Clay Township V(eD 1e~J~~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
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PHONE
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CITY
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STATE
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ZIP
2- -Old-V::,
BEST METHOD OF CONTACT:
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PROPERTY
OWNER:
PHONE
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STREET ADDRESS
CITY
STATE
ZIP
LOCATION
8r. PROJECT
INFO:
LOT # SUBDMSION AME SEmON
.:.l.!J \Q , L.ft0l. 't- .::rr:. 011
ADDRESS OF CONSTRumON W. \(:)~~ ;'r. . .. lJjI ~ JI "'~
t.J..tlaJ .~ LAVl- c.~J:i) L/i0052. W""'"
ZONING:
'6:1..
SQUARE
FOOTAGE: \SlSq,~
SEWER UTILITY
PROVIDER:
WATER UTILITY _____
PROVIDER:
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TYPE OFCONSTRUCTlON: TYPE OF IMPROVEMENT: PLUMBING CONT" .', u. ~~I~U4 YJ/;fpd: '-,:L~!II
o SINGLE FAMILY ~G1\It.~ ~ NEWSTRUcrU~E III ID\lb\ uJuL ( . i ."[!
is :~~:~I~~E. ~\ 6 \~~~HA~g~~~~J) ___ I ~~~~se~~: r 'JI
#ofunI . t:L -
o MULTI-FA IL \ ' J "CESSO ~. hlch plumbing codes will J.,'BPplied to the construction:
o R:S~6~~~AL ( ~ O~;~\ 'iJ' \';, , ,~W GARAGE 0 Intemational Residential Code w/Indiana Amendments
Additions, R~~~','.13t2' ~~~~\ 0~~g\O;~~ o~ARA~GG[. j)(; I 0 Uniform Plumbing Code w/Indiana Amendments
,~J.::.'::> "f#:.Y' (\0 y' \\':" ,\0"" ./rr::; 1/ 'J (Multi-Family Construction Code)
PROJ~l!~!iwm~ON: ~0\' ~ /lV i . : Y
Early R~ 0\ 'C,o\J~~ \ (f:1anufactured ' fJr FOUND~110N TYPE: (Check all that apply for the new
P 't OKy~ ~N' Ir"" Y ~ IN construction area)
erml: <'\\':.'(7\,,,,".\~\)\I''''OSseS: - ~ Q, CRAWLSPACE 0 POST & BEAM
LotSplit: v ~ di_:'? XN Sump Pump: _Y~N ~SLAB 0 BASEMENT
Does any f;'a\ of the property lie within a special Flood designation area: _ Y XN WALKOUT:_ Y kN
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences
within 180 days of the dace of issuance of the building pennie, 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 6751AC 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 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 I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
th o. 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
Sed, occupi~d until a Cercif1cate of Occupancy has been issued y the DeparL~nt of C?~~rviCeS' Carmel, Indiana. ~
S. of Owner or Authorized Agent Pn t Datft
OFFICEUSEONLY:************************************************************************
Filing Fees: "iIi , g ~1
IN:;%PE ONS REQUIRED:
~ .' Base Inspections: "3 CJ 0, 0 0 # Charged Re-
U~r Footin Lower Footing Under Slab () 7 0 0 Reviews
~ ~ Cert, of Occupancy: ) _ _'
~. Meter Base Final Site P.R.I.F,: .d-- Additional Fees
25~OO~ ~ ~J~
Fee Received by:
Reviewedl A proved: Dept. of Community Services
S:Permits/Forms/ILP RESIDENTIAL