HomeMy WebLinkAbout06080152 Application
City of Carmel/Clay Township Permit #: OlaDCOO ffct
RESIDENTIAL IMPROvEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
SEWER UTILITY
PROVIDER:
ADDRESS OF CONSTRUCTlON ....
3'd5L w\V\\'"'
'C"""\ ~ WATER UTIlIlY
Q.. '\ '\'- \.U~ PROVIDER:
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BUILDER of
RECORD:
cm
. ~ i.fa::,
LOCATION
& PROJECT
INFO:
LOT #
PHONE 84
'IS
PROPERTY
OWNER:
v ~ llL.
srr:l91O~sS E:. (s~
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STATE
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t..Q'^-t.
ec..v-~\
SECTION
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ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
SQUARE I _":l. '"' "
OTAGE:Ul~OC 0
QlOI ceo
TYPE.,pF CONSTRUCTION:
l'st SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
~~~~~~~n;A~g;~~~g!'o~~~U~,;r~R~L~~~D5g~~~~~Np~~ :~1I~!~BLE) ~u-tT~~J J~ ~"1U~\yi~~~~\i
~ ((\ '" / , 111 III
TYPE F IMPR NT:~ y- PLUM,BING CONT OR:' I) ! I
NEWSTRU~9..~ ~ ~\\\"",,4. \v\~\. I:, '/['
o ROOM ADDX1:!.~~ '6 0 Plumber's Indiana [- I i0
o PORCH ADDI~ ~ 1) D ~OO _.J
o REMODEL ~ ~!> Oi
o ACCESSO~l1t~p. 1, l'fich plumbing codes will e a TIettto"the.ccNl$b'.u.c:t!on: J
o DETACHED~~E: b (\)~glntemational Residential Code w/lndiana Amendments
o ATTACHED~~ 'il> "'. . .
o DEM0LIT10 .. ::;:.. (; ",form Plumbing Code w/lnd,ana Amendments
~ ..L.. 0 ~ ultl-Famlly Construction Code)
PROJECT INFORMATION: (J) 0. ~ c.
/:. ~ -40..ff! ~ DATION TYPE: (Check all that apply for the new
Early Release Y Manufactured.~~ c&ft_< ction area)
Permit: ~ Trusses: ~ __ 'o::!:
. - - - 0 ~~WLSPACE
Lot Split: _ Y _N Sump Pump: Y _~ ~ C'l SLAB
Does any part of the property lie within a special Flood desi9iil>tion area: _ Y LN
o POST & BEAM
~BASEMENT I
WALKOUT:_ Y ~
I
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 IS months:of the
issuance date. Class 1 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 with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana -1993" (Z- 289) and amendments, adopted under authority of l.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 are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied untO a Certih of Occupancy has been issued by t Depar ment of Community Services, Carmel. Indiana.
. ~-dd,.tb
Print Date
OFFICEUSEONLY:*********************************************.*******~*~****************
Filing Fees: / tJ ~ j (lU
INSPECTIONS UIRED: ( v """-:0
<;~~g Under Slab Base Inspections: ;;/ '7 7 ~
~ Cert. of Occupancy: ,C;-3 . :> ()
Rou P.R.I.F.: / r:2 {,I (}Q Additional Fees
~~~~t,i:Z'&?
FeeR~
# Charged Re-
ReViews
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Reviewed/Approved: Dept. of Community Services
S:PermitsjForms/lLP RESIDENTIAL
(Date)