HomeMy WebLinkAbout06100198 Application
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City of Carmel/Clay Township Permit #{)0/DO ICf8
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, l!r. Two Family: New Structures, Additions, Remodels, l!r. Accessory Structures
STREET ADDRESS:
f"0 ~ 'l(\Ji
'> l1iIL-
PHONE:
3/7-'1 I 'j"-llJJ'---;-
~ITY:
FAX:
3/7-?(,7- J.?.l-S-
BUILDER
OF
RECORD:
NAME:
G A' Cu-<\Q.... ~~$. lvc
PROPERTY
OWNER:
NAME:
STREET ADDRESS:
LOCATION
l!r. PROJECT
INFO:
LOT#:
SEWER UTIUTY
PROVIOER:
STATE:
l/J
ZIP:
1/-(.,06'3
~LL
PHONE:
FAX:
Glt..-
CITY:
STATE:
ZIP:
SUBDIVISION NAME:
L.':< K
SEmON:
I
~~ 87;;,9
ZONING: 51/7<050
Qv\lES ~,vQ
SQUARE
FOOTAGE:
WATER UTIlITY /
PROVIDER: ~.a-- '-
ESTIMATEO COST OF co
(EXCLUDING lAND VALUE) 11 700 CO
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vrz C'KUJ.i/i:fr'ikf.
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PLUMBING CONTRACTOR: //:~~~;o-:y .~~) '"
r" / (7' v/ ,,~'<:, '> '
..;;J( .wUU_ 'LV.....4JWiJ)/ v / /
Plumber's Indiana State ~i~"lii;g~,... 'l.:I I /
('P ~/[) 5'Sc3:"'~ s:J. / I /
WhIch plumbing codes will be ;;'~lili~~the ~nstruc:ti.n://
~Intemational Residential i:~~~\n<ii/n'a Amendments
"''-' ~'v /
o Uniform Plumbing Code wlIn . na Am~ments
FOUNDATION TYPE: (Check all t~PPIY for the new
construction area)
NAME OF UTILITY EXCAVATIDN CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
_VLN
Sump Pump: ~v N
,,-r ~
For Single FamilY_T~.~~Fdwellin~s,-ad4ilti6~s:,,~~o~tels:jMi:dJSr accessory structures, this pennie is valid only if construction commences within 180
days of the date 6fiij,~<mc~ o! tp,!:jbu~ldingpenmt:.!dn~,mu:s.~ be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits ~e\sul:ijeCt'~? ~~R_~~e:~~Admiriisiratiy~~~le,~2~ th~.state of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
(,I '-.- _ ,~, ~I ,."tV..r'St.:'.,\. 'compihingconstruction.
t, the undersigned, ag~ee that apY;constrt.iction,ire~~n~tn1,~tion, enlargem~ q~ocation, or alteration of a structure, or any change in the use of land or structure~
requested by this applic"ation'will comply with; a atohf~nn to, all applrc~ laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z'
289) and amendm~lappted imder"aut"H6ritj" f LC..;.i3.t7 et seq, General sembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and tTOor drains are connectePi \. I1tta'lJ's er. I furthe certify that the construction will not be used or occupied until a Certificate of
Occupancy been issued by the Depart nt of Co nity S~I?1tr' anneI, Indiana. I
. ) -::Z::. L"A<.-C-'A 10130 /OCp
Print Date
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
)6 SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIOENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_V..:.l.N
_VYN
Lot Split:
OFFICE USE ONLY: ************
eu ,S'CilTIC-
TAX MAP PARCEL #:
NJ..lAAeb
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM AODITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~BASEMENT (WALKOIJT:ZV -N)
**************************~~*~~*~~*****************
FIling Fees: - ( L
,
'3 '3 3, 00
Cert. of Occupancy: '7 ~ S iJ
P,R.LF.: /:2 (, I (/ ()~AddibOnal Fees
C ~.-r<fu TAL': fl # r::2/ 0 j' 10
~~cX::t-
Base Inspections:
# Charged Re-
Reviews
(Date)
Dept. of Community Services
S;Permits/Forms/ILP RESIDENTIAL
Fee Received by:
Date