HomeMy WebLinkAbout06080184 Application
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City of Carmel/Clay Township c - ,_ Permit #: l)..e" (
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICi.TION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8t PROJECT
INFO: rJ&
NAME OF UTILITY EXCA ATlON C erOR; PLAN COMMISSION! BZA! BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMIf:h.4. I.
~TOWN HOMEloV<.Dl/'-'f
o TWO FAMILY
# 01 units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
PHONE
6 =-0?3Eo
FAX
~
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CITY
STATE
ZIP
ZONING:
SQUARE
FOOTAGEc;l '2?6 G
00
/-
Plumber's In iana State LiCejse #:
U/~/()
Which plumbing codes will be applied to the construction:
~ternational Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release -t3 Manufactured ~
Permit: Y Trusses: ~_N
- ..?7'I 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y ----D Sump Pump: _~N -=-<:l-AB 0 BASEMENT
Does any part of the prope lie w' ~d deSignati~- , Y ---.lli) WALKOUT: Y d()
For Smgle Fa ~o aAAm?c1'Mlflgngtlt~cWki~lg~~, and/or accessory structures, thIS perriiit-lS"valict.only....lf ~~tructlOn com~ences
Wlthm ISO dij.Y Qt &t ot 'is'SuaAA\.<B~e~ permit, and must be completed (CertifIcate of O~~u p;'intY. Is/ued) WithIR is ITiClIiths of the:
Issuance date Class I sn.w lftRMCg are s e UQ-t~ ~~~AdmmlstratIVe Rules of the State of InaI~;JJ~s~67SIA(12) reg~~dllig eXFl1r.tt~on
nEPT OF COMMUNI 1 ';:l\li1J1H'ldfl'f&\'lIImgandcompletmgconstructlOn i i U/ I - itU11j'
I, the undersl8.!J...~iT~~'f-il8.:t5fH\Mlcvre~~sTr@WNS.~tiTIent, relocatIon, or alteratIon of a struq1flr~'lor any change III the use oflandl~
strucrures reqtblti::lo~ .It'!J5ll~Jtrd~\\;ui c ly WIth, and conform to, all applicable laws of the State of InlilIana, and tnAOOn~ grdfiMer- of cr
I hI I I ' roUiT l [ I )J
Indiana -1993~ (Z~289) and amendmq under amhonry of I C 36~7 ct seq, General Assembly of the ::,tate bE IndIana, an all Acts amendatory
thereto I further certIfy that only kitchen, bath and floor drams are connected to the sanItary sewer I furthe~ thtlfr. that the constructIon ~JCl5e
e or occup,ed u I a Certificate of Occupancy has been >ssu the Department of CommunIty Selces. CarTel. Ind,ana . / I
. ,.,\ C-{? S e.. CrcJT -.-gL~-hroJ
Date I
OFFICEUSEONLY:************************************************~r**********************
Filing Fees: iR 7~, t:, (!'J
~EcnONS REQUIRED: " 7 7 . e:-O # Charged Re-
Base Inspections: 56 _ ...:...>
Under Slab r"-?, e:- -0 ReViews
Cert. of Occupancy: ;..}~....J .
12~1 " Of)
~ TOTAL: #t -;: ~{p , &0
-o.A~i\-1l 1-"'1-_4
Fee Rece' ed bv: 11/ s/o& ,
Final
Site
P.R.LF.:
c
1/.$
Reviewed/Approv Dept. of Community Services
S:PermitsjFormS/ILP RESI ENTIAL
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Additional Fees