HomeMy WebLinkAbout06080192 Application
City of Carmel/Clay Township Permit #: C)<€O~ (') I GjJ--l
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
NAWOc.~
STREET ADDRESS
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PROPERTY
OWNER:
NAME
Je.ff'r/.- Wu/p,'
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CITY
~
STREET ADDRESS
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10
LOCATION
8r. PROJECT
INFO:
LOT #
2-Z
ADDRESS OF CONSTRumON
?.75b ::>N'
WATER UTILITY tJ/JoJ( () I q
PROVIDER: ~ btJ
SEWER UTILITY
PROVIDER: C (1Cu...J j)
NAME OF lJTILITY EXCAVATION CONTRACfOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF CONSTRUCTION:
e1'Si'NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MUlTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~W STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o AlTACHED GARAGE
o DEMOLITION
PHONE
FAX
>0:>'" -;;:, 0<;. .3
~ 7 'f - 11'~
ZIP
"W)J TloN
1::.' 'j ~'I RDgu .10
co A .: ,c'p. wh'l "', "
bl.2~'_' ':tel ;.oc,,1 Code" .
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, nr.;;o:-;-O\' ",~,- " ,,_y TO\'Vf.!tiHw
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C\ . ," sTAT'N\J\Al~A ZIP
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VO"~~6- ..~~~D
.. " . .. .:SQUARE, \ j,'J)
1:\,' ,_!~ "'..-_..".~..-':'-_.-- ::'PO<il,AGE: V 107
. ,-"" 111 ill
E~.' tlAhD COST OF CONSTRUCTION: \ \ I 1)'1 .
(E~fiLUW~G LA~\lG\Ll1J') 1 20~, ?iM :, p'"
:}JJ~l" L-,- J L7I
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I
STATE
BE
5
PHONE
PLUMBING_CONTRAGr&R:
A P. ' )~dJd '6'.J ;J;~t,'Ai 6"
Plumbei"sIndiana" State License #:
Co gS-90e>OKO
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
~ Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release / Manufactured vr.
Permit: Y . N Trusses: Y N
/' - ~N 0 CRAWLSPACE 0 POST & BEAM ~
Lot Split: - Y ~ Sump Pump: o../'y 0 SLAB ../ ~ BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y.i:::::::N WALKOUT:_ Y_N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
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.
t, 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 ~armel
Indiana - 199r (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 n~t be
used or ~CUP"d ~certJfjca of Occupancy has been Issued by the Department of Commumty Se ores, Carmel, Indiana ~) 3~~ ,
Signature of OWner or Authorized Agent te
OFFICE USE ONLY: **********
INSPECTIONS REQU
Upper Footing Lower Footing
~
(Date)
,
I
# Charged Re-
Reviews
I
I
Additional Fees
,
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