HomeMy WebLinkAbout06090074 Application
o~~' '~~; -'City of Carmel! Clay Township Permit #:tAtfJ1 (r)(J 71
'.:~:,' RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLIC~TION
..., "
"" " For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
TYPE OJ..E:ONSTRUCTION: TYPE 9FIMPROVEMENT:
~SINGLE FAMILY ~ NEW STRUCTURE
o TOWN HOME 0 ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDmON(S)
# of Units: F ,R dQNgEMLloElT',ON
o MULTI-FAf1lU'!LEASED 0 ,_ D,',AC<::ESSQRY.'BOIL
# of Unit:ssuhiPrt to Gomr'i\,.n~'b":'Eliii;ACHED G GE
o RESIDENTIAL (For of State , "0,',:1 ATIliCHEEl, A~GE
Additions, ~?,9i'srytc-t(:;",VLO IdE.MOLl': o'N:-.,
. _ ^'" I r-' I'" " 0,,;:,1 \'~ a~
PROJECT INFWW~TWrt:;kH,,"_I., ,.c. ., II r\
/ H '-'\t:.l,jD, , '--1 'fOUND ON TYPE: (Check all that apply for the new
Early Release (/, MamlTilcture ./ V' t cf
Permit: _Y v 11 Trusses: _Y _N), ,(;f:'Y'S ru narea)
Lot Split: _ Y 2:':':N Sump Pump: VY -r_ 0 ' / 0 SLA:;'LSPACE
Does any part of the property lie within a special 'gn n area: _Y ~
BUILDER of
RECORD:
NAM);
/Tn n:5/fN
IhH"'~~ r~L-
PROPERTY
OWNER:
SfRj;;iDDRESS
lOT #
36
ADDRESS OF CONSTRU
/:2-
SEWER lITI J ;,-WATER UTILITY
PROVIDEr- IOI;JJ\;;j li.D PROVIDER: ~'~f ~
NAME OF UTIlITY XCAVATlON CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
LOCATION
& PROJECT
INFO:
PHONE
'8:5 ~- 73/0
FAX
?5 2-- 7'- yo 7
2--/
FAX
3/?-yS'z- -7-
ZIP t10J 2--
~
PLUMBING CO NT R:
J. E J"8/e -;J-/
Plumber's Indiana State License #:
>? /tJO If I () Ip
ich plumbing codes will be applied to the construction: I
?J In mational Residential Code wI Indiana Amendments
o Unifo Plumbing Code w/lndiana Amendments I
(Mulb- mlly Construction Code) I
o POST & BEAM
~BASEMENT ~
WALKO\JT:----':" Y ----,--N
For Single Family and Two Family dwellings, additions. remodels, an lor 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 bf the
issuance date. Class 1 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. L
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 State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -19 r (Z~ 289) and amendments, adopted under authority of l.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendat6ry
thereto. ther cert" that only kitchen bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used 0 eupied t'l;;J.fica Geeup cy has been issued b~h~;:;:;;f cornrnunit~cvices. C;;U'.lndiana. /; 5)0 h
ner or Authorized Agent Print ~ t (
OFFICE USE ONLY: **~*********************************************************************
, Filing Fees: -;L (9 () o. '10
o UIRED: nr-t 5
Base Inspections: -1.. 1 I. ,0 # Charged Re-
.f3 .If:'" ReViews
Cert. of Occupancy: -' J. .0 0 i
~W~~r'-
P,R,LF,:
c.
Revie edjApprove"d: Dept. of Community Services
S:PermitsjForms/IlP RESIDENTIAL
Fee Received by: