HomeMy WebLinkAbout06110109 Application
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City of Carmel/Clay Township permit#:lIf., /JD/07
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER
OF
RECORD:
NAME:D B ,
STREET ADDRESS:
71
PROPERTY
OWNER:
NAME:
o,C\
SPEC
<;q YhO '" 5>
STREET ADDRESS:
PHONE:
FAX:
8'7b- ;Jo70
8
b-~99d-
fd,'
STATE:
ZIP:
BEST METHOD OF CONTACT:
I'Yl
PHONE:
FAX:
CITY:
STATE:
ZIP:
Manufactured'll.
Trusses: ~\G\'lN
sumpC-S\'?; :t..",ntI..
,UP ~ \~~~.-
'oil .,_ " "" ~.
For S. in.gle Family and.Ji~.. 'F~ " imd _' '26GRl.'on l!w\~ . gj~: _ _ ssory structures, this permit is valid only if construction commences within 180
day,s of the date of i~ct;Rh~. . _,,~M~~ ,. 'cate of Occupancy issued) within 18 months of the issuance date. Class I
strl!-cture permits are s~t1:fo ~~. .. ~t~~~ R - Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
-.......t: r.O\ I,~,\~l~\. b..'< ompletingconsrruction.
I, the undersigned, agree t.lli'i:AA'~.o~ilHct1, 's~~n:enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this applicatii\J~lJ I , ' ~l applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z-
289) and amendments, a~n~ut oriry o'~ - d seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
. kitchen, bath, and floor dr\?~s' a~ connected to the sanitary sewer. I further certi ..thaHhe' truction will not be used or occupied until a Certificate of
.Occupancyh.!S.been-iss the Dep.ft unity Services, el, Indiana.
CWOr0 i1/<;II06
Signature of Owner or Authorized Agent Print I L Date
~OFFICE USE ONLY: **************** *7Tf:':l*;')*** .~**** ******************~*J!l********************
INSPECTIONS REQUI 0: Iff-O Fill ees: /0 I(' L .----;
~er FO~ ~er ~~ Under lab ase Inspections: ';J 7 l. :// # c~:~~ee:;sRe-
- ~ Cert. of Occupancy: S- ..3 ,~
rRough I~Meter Bas / /)0
~ -A.... P'RMI{: I (::< ~0 AddlbonalFees
\ ; /.:~): ,?~'.-:J {. (,7' {TV
(Dale) ~~~
Fee Received by: Date
LOCATION
8< PROJECT
INFO:
lOT #:
J70
SEWER lJTIUTY
PROVIDER:
c.T(c'W
NAME OF lJTILITY EXCAVATION CONTRACTOR; P OMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(s); ANDIOR COUNlY WELL ANDIOR SEPTIC PERMIT #'5 (IF APPUCABLf):
FLOOD ZONE AREA DEsIGNATION(s) \i, ",.' ',/ S I I'
FOR THIS PROPERTY: r- l...'/C ~
TYPE OF CONSTRUCTION: . _, itYPE OF IMPROVEMENT:
". C,-., \\J,\'
~ SINGLE FAM.ILY;' '. ,,';':i/;->,\\!l'l\ '<<EW STRUCTURE
o TOWN _Hg"'E'C;;\;:';:~/ \r;;>f'ROOM ADDmON(S)
o ~Q~FAMItY,,::;.,/ G\ P,W-CH ADDmON(S)
'\ \H(~~itsbeing . 1'0'0'0 G-~<lt< ADDmON(S)
,C<!n.~~.uctedat hllll \/ REM~DEL
time: \ '" .-sement Finish only
o RESID,El'1nAL or 0 - SSORY BUILDING
Additicms:,Remodels.,Etc.l DETACHED GARAGE
\'\:, \S'v~ ATTACHED GARAGE
PROJECT l: FO MA DEMOLmON
,
Early Releas 1
Permit:
Lot Split:
_y'f-N
_YN
\....
~,;?:~
SECTION:
uD
(P/3 eO ~
11~cx.:v~
::# Cb 110108
io r
ESTlMATED COST OF CONSTRUCTION:
(EXCLUDING lAND VALUE)
i/.
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
DOI~ PI<J""b;,~
Plumber's I iana State Licen :
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~ CRAWLSPACE 0 POST & BEAM PIER
o SLAB tllI: BASEMENT (WALKOUT:_CXN )