HomeMy WebLinkAbout06120030 Application
City of Carmel/Clay Township Permit #:06/ ~ctl3 0
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
~~
PHONE:
6 -.;(3W
CITY:
o
FAX:
675-;(::5/
PROPERTY
OWNER:
STATE: ZIP:
~ Q
BEST METHOD OF CONTACT:
E-
STREET ADDRESS:
FAX: " . '^
.;.. \('18 1 '~'~:::~;jPs~"~\rJ ~(1 /d.._~J
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: yo; sEcrt'b~:~. - "~~.. '",I.4.~~ ~-"ioNING; ~,:-:';,,;-<
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LOCATION
&. PROJECT
INFO:
SQUARE
FOOTAGE:
till
I
ESTIMATED COST OF CONSTRUCTION:
UDING LAND VALUE)
All C CTOR; PLAN COMMISSION'7BzA7~B"w.DOCKET
); ANDIO COUNTY WELL ANDIOR SEPTIC PERMIT,,#'S'(IFAPPLICABLE):
[/f"i\ f -~.<-:' i' .' .""
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~GLE FAMILY
'B TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
//I/i/ 0 ", TAXMAP~#:
;/./((,' 'EO ,il -"-'/- "00...
TY':~~F IMP. ROY~~E :2006' /;~L~BING CONTRACTOR:
'gl-NEW-5rRUCTURE---///~~ -=J7;.L'...J
o ROOM ADDn:.ION(S~__J '_P'lumber's Indiana State License #:
o PORCH AOOmON(S) /~ dJ 'A;::v..
o DECKADDmON(sf~~ ~r IL/L-L)() J(') I
o REMODEL . .. . -""''''hich plumbing codes will be applied to the construction:
Basement Flmr . ..
o ACCESSORY BUI' -~ntemational Residential Code wi Indiana Amendments
o DETACHED GAR 0 U ". I b" C d II d" A d ts
o ATTACHED GA~ nl.OI111 P urn '"9 0 e w n lana men men
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y~
_Y~
Manufactured
Trusses:
Sump Pump:
~~
at appl for~
o CRAW ACE 0 ST & BEAM PIER
o SLAB \-sASEMENT (WAlKOUT:_Y @";
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change 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 amendments, adopted undet authority of 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 connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cerniicate of
l::C \lll]cyhas been issued by the Department of Community seS#' carmel, Indima, . . /
. _1/C1P ~ -k Uk/10 U I r l,:l /8 /tJC
S. nature of OWner or Authorized Agent rint Date
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: / 11 {f 0 / 0
N . F t' Base Inspections: ~ 7 l C;-d
pper 00 In Under Slab
, Cert, of Occupancy: S~ J, j- 0
""~UghI Final Site P'R'I.F~"... /.2 { / (JO
"~ 12-12'-,6. TOTAL:)' i;2Z!: ;lr-F.2 / cJ
eptofCommunityServices (Date) ~~./;j) , :-/~~
ESIDENTIAL
# Charged Re"
Reviews
Additional Fees
Fee Re eived by:
Date