HomeMy WebLinkAbout06090157 Application
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City of Carmel/Clay Township Permit #:~7
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
CIT\'
..1
STATE
~4-
ZIP
<=I 4>.;) (Q
BUILDER'S EMAIL ADDRESS
-to1UY\\' ~ ~ .
BEST METHOD OF CONTACT:
~\h
PROPERTY
OWNER:
NAME
~
PHONE
~n l~e.--(V~I'-f
FAX
e.n(~18-")\Jl'-f
STREET ADDRESS
~N.. "'-U1Q..~
SUBDIVISION NAME
\h'\\.~
CIT\'
STATE
...(I~
ZIP
-d(o~tl'
LOCATION
& PROJECT
INFO:
LOT #
1/'-1::1..
v.)~ el
SECT10N
....001
ZONING:
sl
SEWER UTI!;\'" _
PROVIDER:crR\N D
SQUARE
FOOTAGE: ~&' a ';;\
ESTIMATED COST OF CONSTRUcnON:
(EXCLUDING LAND VALUE) ~ '6 001:)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
~Ceo
6\
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
.4 SINGLE FAMILY '3 - ~ r/fJ
)iO TOWN HOME n^"",^~ 0
o TWO FAMILY ~. ~
# of units: ~8^ 23
o MULTI-FAMILY ,...-: 0
# of Units: ~j-t
o RESIDENTIAL (For ~..~
Additions, Remodels, Etc.) 1"1' 0
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
PLUMBING CONTRACTOR:
~ <;k~~
Plumber's Indiana State License #:
'05~
Which plumbing codes will be applied to the construction: i
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments '
(Multi-Family Construction Code)
PROJECT INFORMATION:
E I R I M f ~~ FOUNDATION TYPE: (Check all that apply for the new
ar y e ease -1: anu a...~: . I
P"t Y NT" construction area)
erml : russes:..,lIbj
" - V t>n- COI\'~RAWLSPACE 0 POST & BEAM
Lot Split: _ Y +--N Sum~ POmp: ~;;'1m1tII\co Wi;'" 0 BASEMENT ,
Does any part of the property lie wit" liti'.Tci@,d' i11l1ll1i~ t6ili'u 1~N WALKOUT:_ Y ~N
For Single Family and Two Family dwellings. addition, tC4PfiW lNfls~I)IJlF.wctures. thispermit is valid only if construction com+ences
within 180 days of the date of issuance of the building permit, an tntq\Ii!Prt!'Q'(\t~e of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General~.ij;tr~ R'"'~fJi.~e'?f Indiana (See 675 lAC 12) regarding expiration
time frames for begi~ci":~ompleting 'c!oV1fJiH~n. I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration ~1 a:'structure, or any change in the use of land or
structures requested by this application will comply \vith, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z- 289) and amendments, adopted under authority of I.e. 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 not be
u~e~d~t~OCcUpanCYhaSbeen iSSU~eP~~~unitYSel"ViceS,Ca'mel. Indiana.~
Signature of Owner or Authorized Agent Print Date
OFFICEUSEONLY:**********************************************>*************************
Filing Fees: h.... -'/...2 r:? 0
I.NSPECTIONS REQUIRED: .., .--72 _
"....-;;: =-__ P':~ Base Inspections: ~ / ~ '"' v
I...- Up~ting Lower Footing Under Slab S3. ~O
Cert. of Occupancy:
~ ~se Site JI//' A'!/l',
~" ~ P.RJ.F,: /or h _ () U Addltlo1nal Fees
!~ L-./~TAL/7/--,~f..2,.,2 {Y'do
Reviewed Approved: Dept. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL Fee Received by:
# Charged Re-
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