HomeMy WebLinkAbout06080168 Application
City of Carmel! Clay Township Permit #: () (a () 25 0 I V; '8
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
LL~
FAX:
NAME:
PHON.:: Db7 _ 'It./ ~ ~
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BEST METHOD OF CONTACT:
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SECTION: !;iONINc;:'Nl
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PROPERTY
OWNER:
FAX:
SEWER'lffiGkr
PROVIDER:JY
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tQOTAGE:
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LOCATION
&. PROJECT
INFO:
NAME OF LfTILITY EXCAVATION CONTRAcrOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
'f[QOD.ZONE'AREA'DESIGNATION(S)
t~S$ROPE~:" - ' ';ifZ'--'-;.l!
TYPE OF CONSTRUCTION:
ilo1' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions. Remodels. Etc.)
.TAX'MAPiPARCEC#:
f i fJ'i1lf:.!Z - 6/-07-0/ 7. bOO
PLUMBING CONTRACTOR:
o NEW STRUCTURE 12. T, IA () lJ (t.C....
o ROOM AOOmON(S) Plumber's Indiana State License #: r
~~1f~~t!f' )';r--,~~?t~~
o ACCESSORY BUILOING International Residential Code wI Indiana Amendments
o OETACHED GARAGE .. . I
o ATTACHED GARAGE 0 Unoform Plumbing Code w/Ind,ana Amendments
I
o DEMOLITION I
FOUNDATION TYPE: (Check all that apply for the new
construction area) ,
~CRAWLSPACE 0 POST&_BEAM __~!~~~
o SLAB -....t BASEMENT (WAlKOUT:-::y;i \2'N)r\\\
"" _~~' :-;-..:r~ \\ \'" ,~\ \ \
For Single Family andJt~INJl~Wost. ~~. remodels, and/or accessory structures, this permit is valid onri<~co~~;b~i~!i~\cfJilfu~c~hm ~ \ ~
days of ~i~pa~\lw~qwIAi~J'Illt.t;.....a.U.Q. w~tb.s:..completed (Certificate of Occupancy issued) within\IS,n\fmllis of the issuance date. pass 1\
structure,p'trliiih !re'{ubje't116liil~\(5b1tb)lJjlAtL~~t1.~ of the State of Indiana (See 675 lAC 12) regarding e~I*,~n time frames for be~~g ana., I
l.iITYOFCARMEL/CLAYTOWNSl;tllD"mpJetingconstruction. I\L.I ~,,9 L\J\{" J
. I, the undersigned, agree that an~ .~~r,r~",ipR' reconstruction, enla!!;e,:,ent, relocation, or alteration of a stmeture, or any chlnfe'i Ihe usJ>,\llilnch,r stmetu!"
"'requested by this application will~JfWMt,\md conform to, all applicable laws of the State of Indiana, and the ~Zoning O~b.in~, ~f Carmel Indiana -19 :.(.z,
\\:~89) and amendments, adopted under authority of LC 36~7 et seq, General Assembly of the State of Indiana, and all Acts amenda~rY\:O-l\ereto. certify that only
kitchen, bath, and floor drains are conn ted to the sanitary sewer. I further certify that the construction will not be used or' cupiMl until a Certificate of
~..' Occu as n issued y the artment of Community Services, Carmel, Indiana,
TYPE OF IMPROVEMENT:
PROJECT INFORMATION:
Early Release ~ Manufactured V
Permit: ~y Trusses: _Y~N
Lot Split: RE~EAS1i GR C~l'~TION-Y A-N
Print
Date
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
'.--'-
~U9h I~;Meter Base ~ Site
Filing Fees:
Base Inspections:
Celt. of Occupancy:
*i~*;r~*~*******************
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# Charged Re-
ReViews
OFFICE USE ONLY: *****************************
P.R.LF~flOTAL' ~JJ?O~"--
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Fee Received by: Date
c-:.VlL;- /-.t I ~ 'l=J - cb
Reviewed/APp~Dept. of Community Services (Date)
S:Permits/FormS/ILP RESIDENTIAL