HomeMy WebLinkAbout06080107 Application
City of Cannel/Clay Township Permit #:o<€{]f2, tJ 107
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-F"'nt~e!lily: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAME
PHONE
FAX
STREET ADDRESS
Indianapolis, IN 46250
CITY
STATE
ZIP
D OF CONTACT:
PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
/~ 5& :J,N/!t. Z
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./ /;N.f.T5f!. UTlL
/";. <PR, QV!DER:
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NAME OF lfTILITY EXCAVATION CONTRACTOR; ~N>'c9tlr:1iSS ",- N'I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTYWEl.L AND/OR"':-SI;: -:"' 'fu~rr #'5 (IF APPLICABLE):
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TYPE OF CONSTRUCTION: 'FPRO E~ENT:
~D SINGLE FA~ILX~. ,,' , ~ cr, NEVv R6crURE
TOWN ~CJMJ:;,,2': "~~~, 'RO ,'ADDITION(S)
o TWO FAMI~Y$~' ~""(,, /0 RCH ADDITION(S)
o M~~~~~~%;~~~f'<,~'.~' // g::~~~~~~LRY BUILDING
o R:s~6~~~~L (~' ,"::.::'::;:0 , /0 DETACHED GARAGE
. , or"", " 0 ATTACHED GARAGE
Additions, RemodelS;lE~ 0 DEMOUTION
PROJECT INFORMATION:
Early Release Manufactured FOUNDATION TYPE: (Check all that apply for the new
Permit: Y X N Trusses: Ly I'. construction area)
. - - v' ----At:lEASrm ~~~JnIIAQ~ & BEAM
LotSpht: _Y~N Sump Pump: LL-Y ~j!'Cttp~~lJft~liriJ:i1:.;;:"~)r', '1.ff.i.~EMENT
Does any part of the property lie within a special Flood deSignat~!!i'Ii"~~" ., \~, r. ':>'~IKOUT:_ Y LN
For Single Family and Two Family dwellings, additions, remodels~Il! t a ~ ,--. _ ,r '~_~tN!~'6~lt~ons[ruction commences
within 180 days of the date of issuance of the building permit, anl1.(h11{~i-4PA- . ';"' .,.""Hfi~i'<~~"'~" ~m~iWfi '\rithin IS months ~fthe
issuance date. Class I structure permits are sub~ect to the General.Ad:minisira.tiVCRU~~'Hif,'i . e,l$~ e_ 0 i ~' . " ~~i: 12) regarding expiration
tlmeframesforbegmmngandcompletm~,I:~l", '.,' .' t;~'", "
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or altei~ti~n''<:if/a structUre, or any change in the use of land or
structures requested by this application v,ill 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, adoptcd under authority of I.c. 36-7 et seq, Gencral Assembly of the State of Indiana, and all Acts amendatory
thereto. 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
used r occupied until Certjficate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
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Sign ture f wner r Author ed A nt Print Date
SEWER UTILITY
PROVIDER:
~
Lf1liacWuAf - JON
ti [ TAl, -4
ZONINQJ _ /
SQUARE 51 /'4
FOOTAGE:
LOCATION
&. PROJECT
INFO:
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Which plumbing codes willi
~ International Resid
o Uniform Plumbing Co e wI Indiana Amendments
(Multi-Family Construction Code)
OFFICEUSEONLY:***********************************************~*t*~****************
Filing Fees: ';:TOU.
~ECTIONS REQUIRED: Base Inspections: . ) 77 V # Charged Re-
l(pper Footing~ Lower Footin Under Slab 0 /3 "l) ReViews
Cert, of Occupancy: . 2-') .c1}7- a 0
ough In' rase /Flnal Sit 0 J Additional Fees
Reviewed/Approved: Dept. of Community Services
S;PefmitsjFOfmsjILP RESIDENTIAL