HomeMy WebLinkAbout06080120 Application
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- ; City of Carmel/Clay Township Permit #:lid)'80 J::2..6
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAME (;O~tJb<l. ~ MeI
\TA M~.s eo.
PHONE
773-'1343
mY
Nofl:,c.E.iV Ic.../-E
FAX
773-732,.(
STREET ADDRESS
2-0 10 ~
STATE
ZIP
),{. 4 (,0," 2-
4'3 2. - 7 :5 "'4
BUILDER'S EMAIL ADDRESS
01 (\ ef'homes
Cl 0 I . COJ1
BEST METHOD OF CONTACT:
L{... PHi> 1IEc-
PROPERTY
OWNER:
NAME
/JD~w
PHONE
FAX
LOCATION
& PROJECT
INFO:
A U)ElJ
STREET ADD~~S
I HIALEAH Co ,.JCI~"'Af'oLH
SUBDMSION NAME (l . .
VIu.A'-€. OF IJ6T \..U\
s
8t
mY
STATE
Iv.
ZIP
4roZ2D
LOT #
23.5
ADDRESS OF CONSTRUCTION
eo( MI/..fbrUJ 5T<l.Et'r
WATER lJT1LITY . ,
PROVIDER: CAe.Met- W,ltTU...
SECTION
'2.002.- -t3.
ZONING:
'& -/
SQUARE
FOOTAGE: 7. q, 04
ESTlMATED COST OF CONSTRUCTION:
(EX LUDING LAND VALUE) if
so 000
i1[(I~{jHI
-?
J
"eL
PLU BING CONTRACTOR:
,
'Do-tirE: PWM/!'(/J(. > I-/EPrTIIJ'
Plumber's Indiana State License #:
~PO?o 8 ~c. 2.1';::.
o
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
Manufactured /'
Trusses: ____y ~N
/ 0 CRAWLSPACE
Lot Split: ____y VN Sump Pump: ~y ____N 0 SLAB
Does any part of the property lie within a special Flood designation area: ____y vN
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o yoST & BEAM
CiY' BASEM ENT
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.
1, 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 -1993n (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 ~ ~:tt;;/occupanCY has been issued by the Department of Community Services. Cannel. Indiana. 1;"Z-
~ . )./fCJII1&L (;ot.LA/,Ge f)-l7..-0b
Signature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: **************************************** ********************************
Filing Fees: 1/ /) 'Z ~
INSPECTIONS REQUIRED: I ' .
c: Base Inspections: '0 ??;.. (f 0 # Charged Re-
~r FO~ ~er FOO~ ~der SI;b) ~ 3 '---0 Rev,ews
- . Cert. of Occupancy: .3. 6 l
~S~~m:;"&N~IMUCT~ P.R.I.F.: /;( hi dO Additional Fees
SUbject~~~~ WiceWatca~I:~~~~~-: ~TOTAL; l1i!~if; PJtti
mllll!'J~<6W _ ' _' aA
INO:ANA Fee Rec. ed bv: \... 9/? of;:;