HomeMy WebLinkAbout06080129 Application
City of Carmel/Clay Township Permit #OWXO/ ;1?
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
rulk
FAX
676-073'/
PROPERTY PHONE FAX
OWNER:
STREET ADDRESS CITY STATE ZIP
LOCATION SECTION ZONING:
8r. PROJECT I
INFO: SQUARE
053 FOOTAGE: eX;,
NAME OF UTlUlY EXCAVA N CONTRAcTOR; P0\;',dJMMISSJON I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR~COU~TY.WsLL '~ND10R SEPTIC PERMIT #'5 (IF APPLICABLE):
,~..- '."_ ',1 /~ \\\ \ \\
,c , , '\~ \\\
TYPE OF CONSTRUc::rI?N:'/ TYPE QIUMPROVEMENT:
~ING. .L.E'F~~lILY" 'L\l\l'il ~~STRUCTURE
o TOW~ I1?!"1E '1- '?J <Q\~ RO ADDITION(S)
o TWO"AM{lY \\\\(0 //"0 POR H ADDITION(S)
# O~~~~ O~'REMODEL
o MULTlf ~I~~ " ___ 0 ACCESSORY BUILDING
# 0 U~ : 0 DETACHED GARJlr-
o RESIDENTIAL (For 0 AlTACHED GA'
Additions,\~ els, Etc.) 0 DEMOLITION
PROJECT INFORMATION:
Early Release
Permit:
PLUMBING CONTRACTOR:
rto.YYlm r :"Yll<1:'S -1-11 c:..
Plumber's Indiana State license #:
e.p / OCOONJ I
Which plumbing codes will be applied to the construction:
~nternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi. Family Construction Code)
~ Manufactured Q FOUNDATION TYPE:
construction area)
_Y N Trusses: _N
/v'\ 0 CRAWLSPACE 0
lot Split: _ Y N Sump Pump: ---0.-N 0 SLAB ,.,. @
Does any part of the property lie within a special Flood designation area: _ Y ~
POST & BEA
~ASEMENT
WALKOUT:
y
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 with, and conform to, all applicable laws of the Stare of Indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993" (Z~289) and amendments, adopted under authoriry of r.c. 36~7 et seq, General Assembly of the Srate of Indiana, and all Acts amendatory
thereto. I further certify thar only kirchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
u or occupIed until a Certificate of Occupancy has been Issued by the Department of Commumty ServIces, Carmel, IndIana
, QClVJIC.e ~t~(JAj101")JC
on'
OFFICE USE ONLY: ******************************************************** ***************
Filing Fees: S' 3, V
INSPECTIONS RE UIRED:. . _ _
, \ HELEhS;:::Q <:S$sil(Di~~CTION ~'71 ~ () # Charged Re-
:noting ," "~r."'''''' ""J' ")1' 'b. .. r,...--;1 ReViews
. .. '''''"'"':.':J~'1,((E: '6'f!,lJ&Ii[I~ions 0 3 , J V
.' . ~ L,nrr Local ,-"aces.
FIn~IDE ~tl'::c: '~Ii>.:ltiM,TY Sf::RVICE ,;20. 00 Additional Fees
CITYOFC/,ii:i:i~L/C1jWTO\f. d5.L(~ 14'
" IC;/\Ni~
pper Footing
n
Base
Approved: Dept. of Community Services (Date)
ms!ILP RESIDENTIAL
Fee Received b
7)/;).,/ /1lC9
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