HomeMy WebLinkAbout06120023 Application
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City of Carmel/ Clay Township Permit #: 06 I ~ DO;)'" ~
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:
FAX:
675-,;(3/</
7
-
PHONE:
FAX:
FLOOD ZONE AREA DESIGNATION(S) )
FOR THIS PROPERTY: LAI1~ha.de.d
TYPE OF CONSTRUCTION~
~INGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
CITY:
STATE:
ZIP:
ZONING:
.:s /
SQUARE
FOOTAGE:6w 34
I
P , i '. C - b 2n06, ,:11"
i I lJ ,/ i
/' i, ,#00 :::J.Oo.-:i.b
TAX M pt PARCEL #" ---- --_J '------"' I
L: '
7-ZJ'7'~fi-co-:{)I:-:{)"'/. I
CAVA 0 CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
(S); AN OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_v.J)
_V ---€.)
TYPE OF IMPROVEMENT:
c:O-'NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGF
o ATTACHED GARAG
o DEMOLmON
Manufactured
Trusses:
Sump Pump:
1=~
_,f
PLUMBING CONTRACTOR:
!fCbnvn1,~ '-I-IU:/
Plumber's Indiana State License #:
(!'/I r)/){)() /6 /
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w IIndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDA!lON TY~1( all tha~,apPl~ fa! the!!!..w ,~
construction area) ~eJV<l/1I(..,,(~~
o CRAWLSP CE POST & _ BEAM _PIER
v-eJ)
o SLAB
EMENT (WALKOUT:
For Single FWl ,an wo ~y, })dUn.g;~trr-f!WpSh,~and/or accessory structures, this permit is valid only if construction commences within 180
. days of th~\i .rn. 2Pbf~~ utt:cf!..ng'p,epp.!~~1fmiis~ibe'completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are mlb~WMW~tive Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and
~if~" COMMUNITY SERVICESompletingconstruction
I, the undersit!f, a ree1:Jla'i,:w.r. ~onstru.1Tt~q, r~f\~t~~ ~~ent, relocation, or alteration of a structure, or any change in the use of land or structures
requested il"WJMtl~ jviUl,LaIrNl:orl~ ~,'AJPJpf:Jl!cable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 1993~ (Z~
289) and amendments, adopted un~~i1Nf\Y af LC 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 c'bb.l1~Ud'h)1:he samtary sewer. I further certify that the construction will not be used or occupied until a Certificate of
ancyhas been i ," d by the Department of Community sr:;. ,ann~, Indiana. . .
\ . _Y1IC..Q "bteu kY10U I (' /d/ 6/ OC,
ture of Owner or Authorized Agent . nt Date
OFFICE USE ONLY: *************************************************************~*****************
INSPEcTIONS REQUIRED: Filing Fees: tf 5 J.- '1lL
(!JPPer FOO~' ~':.;er Footin Under Slab Base Inspections: ;J 1'7 c:{Q
, e:Y Cert of Occupancy: <'3, :;0
~ M.eter Base ) Final Site /, / 0
. P.R.I.F.: ',;2( ()
12- 7 d~;AL~~,' :L:dl.SYI'/O
Community Services (Date) ,-A~~~..6_ , _
Fee Received by: ---_ Date
c
# Charged Re'
ReViews
Additional Fees