HomeMy WebLinkAbout06100079 Application
City of Carmel/Clay Township Permit #tJb J tJO 01 Cj
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &.TwoFamily~~ew ~t!.uE.~res, Additions, Remodels, &. Accessory Str~ctures
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BUILDER'S EMAIl ADDRESS: J '-' ...' j
r:IHP~ J<8I-1lJMer-. /cOM
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BUILDER
OF
RECORD:
NAME:
STREET ADDRESS:
PROPERTY
OWNER:
NAME:
\.L6
~~
STREET ADDRESS:
57uo Q.o~
LOCATION
&. PROJECT
INFO:
lOT #:
110
SUBDIVISION NAME:
ADDRESS OF CONSTRUCTION:
FAX:
ZIP:
yJ.. '2..
dh
\
PHONE:
FAX:
l-g \ Q\)
STATE'
~
ZIP:
4bd~
ZONING: J
S':-- I
SECTION:
I
Cv--~
p,., ,
=51 ~C1
SEWER UTILITY
PROVIDER: c.. T Q. \...0,D
NAME OF UTIlllY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCJ(ET
NUMBERS; TAC DATE(S); AND/OR COUNTY WEll AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~WL5PACE 0 POST & BEAM PIER
o SLAB ~MENT (WALKOlfT:_Y~N)
I
I
For Single F . i i. . dloT accessory strUctures, this pennit is valid only if construction commences witli.in 180
days of the ua)uG<l11rllitli&maih~tl ~iatilih'l'.8mpleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are S~S{i!~r'kJ~C'Caf1~~9~ive Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
r:: 60mpleting construction. I
I. the undersiptEiR~Q.fat ~MMUl:M!~rS~ft\MJ, C~ment, relocation, or alteration of a structure, or any change in the use of land or structures
requested bO'J!fV>I9Fie ~n: '1i~tallW'9b~Mr-fQ.ptlpble laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amenilinents, adopt~d~gJ~~utI{on.tY of I.t. j():1 et.seq;-'Ceneral Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are cJ.wGlA~rI\e sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu ancy has been issued by the Department of Community Services, Cannel, Indiana.
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Print
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
;'[J'TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Earty Release
Permit:
_Y~
_Y~
Lot Split:
f'lvlCtr~
x W1S I-wdd
TYPE OF IMPROVEMENT:
C:2!-,NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOUTION
Manufactured
Trusses:
v('_N
V_N
Sump Pump:
OFFICEUSEONLY:****************************************************** **************************
Filing Fees: / 0
Base Inspections: ,,;7 -; 7 :')0
Cert.ofOccupancy: ,5'" f . ~{l
1::2 6/ {1 {J
,
INSPECTIONS REQUIRED:
per Footin c;fwer Fo~) Under Slab
~r~ eY
Which plumbing codes will be applied to th
,
;
o International Residential Code w/lndiana Amendments
o
Uniform Plumbing Code wI Indiana Amendments I
l ~/rO /'rk
Date
# Charged Re-
Reviews
Addiuonal Fees
0- l
Reviewed/App oved: Dept. of Community Services (Date)
S:Permlts/FormS/IlP RESIDENTIAl
,