HomeMy WebLinkAbout06100145 Application
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City of Carmel! Clay Township Permit #Ob I 00 I if S
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
N~~
PHON~~L
-~LP -72-1 (
FAX:
STATE:
{ N 4 fdJ '3 z.....
BEST METHOD OF CONTACT:
?O'5-72-J /
5bct - q0J I
CITY:
CA<twta-
ZIP:
STREET A~~r~il 0
BUILDER'S EMAIl ADDRESS:
NAME: \L D f\\{ M ~
STRE~{~~: SP~tJLR r:~S M,
L7Lf SUBDIV3P;Z;~ N.~
AIDRE~ ~ LUCTIPt( w r: A<Uvl
FAX:
-
SEWER UTIlITY WATER lITIUTY I' J J} ,/\...,
PROVIDER: PROVIDER: l/I1' vr r I E,
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I
NUMBERS; TAC DATE(S); ANDIOR COUN1Y WELL ANDIOR SEPTIC P
MATED COST OF CONSTRumON:
UDING LAND VALUE) 2
FLOOO ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
\
TYPE OF IMP
o NEW STR
o ROOM AD
o PORCH-AD ONeS)
~~ADDIT ON
~ REMC:lDELi2J A:7i
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
PROJECT INFORMATI01f:/ 0 DEMOLITION
Early Release ~ Manufact
Permit: _Y Tr:
Lot Split: _Y N Sump Pum
ON:
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
j :~~J~~! V.~~:~~~:~: BEA: ~
r'Jt ~..,tA!R ::H1U L r}r;41 \,J11l...!\:;'"
For Single Family and Two Faro" ctures;' tliis'~ririit is yaliu,oi1.!y}f cpn~q-pc,tj.Qq.._~ernmences within 180
days of the date of issuance of e building permit, and m t be c leted I tt j;lC>c61~sd'~) b.Jithid IS n'10nth~ 6f th~ance date, Class I
structure permits are subject to neralA" " uesofth "teofIPH~;(X~7A~r;U1~a.rdinil:t3-"?~J-\tiJt1~~ofporbeginningand
mpletmg coJsthlcrtoh! r- v 1'IJ I . I v::
I, the undersigned, agree that any construction, reconstructio ,enlargement, relocation, or alteration of a strut~~f~.h~ange 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 - 1993" (Z~
289) and am ents, adopted under authority of I.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, ba ,a d floor drains are connected to the sanitary sewer. I further cert' that the construction will not be used or occupied until a ce~ti/ate of
Dew ane ~u~nnentofCOmmUnitYSmic.,.canne.lndiana IJVtllt:.S I O;{~ ~
Signa of Own& or Authorized Agent Print Date
OFFICE USE ONLY: ******************************~~********************7~*3******O****************
INSPECTIONS REQUIRED: FIling Fees: .' 51
. _ Base Inspections: III 0 0
Upper FootIng Lower Footing Under Slab
Cert. of Occupancy: S,~. SO
~.;gh V Meter Base
,
# Charged Re-
ReViews
e:> Site
~ 1.,:> --27b
Reviewed/App oved: Dept of Community Services (Date)
S;Permlts/Forms/ILP RESIDENTIAL
P.RJ.F.:
,0-30 Db
Date