HomeMy WebLinkAbout07010097 Application
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City of Carmel/Clay Township Permit #:(J1DIIJ611
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
NAME _._
(::0>\1:,1:(" L-.I""TD;.A ~1vtC';'
STREET ADDRESS S.....;;-c: L.6v
I 4 J co C'-^ 't "tERIlA<.C (\~V ;:,
BUILDER'S EMA!L ADDRESS . i
CJ(__n.of@ o-\-v'~. ",,,,t
NAME
STREET ADDRESS
LOT# -'
...'",
TYPE OF CONSTRUCTION:
.>5S SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
ADDRESS OF CONSTRUCTION
I Z. ;)') I 03' /Z- ~,'1 ~IE .:; ilc-sl S'n:'<b-T
SEWER UTILITY I WATER UTILITY aloi CQlf I,P
PROVIDER: CLAY PROVIDER: (N)J'vO<'-
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW'DOCKET
NUMBERS; TAC DATE(5); AND/OR COUNn' WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
PROJECT INFORMATION:
Early Release
Permit:
SA..Me AS .Af:::.::..K...
SUBDIVISION NAME
YiLLAE.G
of WeST <'I...A"t
PHONE u(Pr;J- 85"10 FAX
SI"> - ZSIl...
CITY STATE ,rl ZIP 41,.3L.
LA(LM~<""
BEST METHOD OF CONTACT:
e.'lM'~;\
PHONE FAX
CITY
STATE
ZIP
TYPE OF IMPROVEMENT:
4 NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
SECTION
5oe,..
ZONING:
.$(
ESTIMATED COST OF CONSTRUCTION:
,,~EXCLUDING LAND VAL,UE),
SQUARE 4 A "l
FOOTAGE: 2.-..~
+ 35q coo
f-, /"l,,,,,C[,! i
., '
, ,
PLUMBING CONTAACTORlAN 1 6 2007
ill ii.
do 'L' "
1'1" ~l ' '"
Plumber's Indiana State license #:
,
/OO5t.ol____...,._..
Which plumbing codes will be applied to the construction:
~International Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
Manufactured FOUNDATION TYPE:
__V _N Jy N construction area)
_..._ Trusses: ...L::.......
.i'1' CRAWLSPACE
Lot Split: _Y _N Sump Pump: LY _N 0 SLAB
Does any part of the property lie within a special Flood designation area:
(Check all that apply for the new
o POST & BEAM
g[ BASEMENT.....,. '
Y -A.-N ~~Or"Y--2:LN
For Single Family and Two Family dwellings, additions, remodels, and/or accesso , sJ?:~~O'aUl:t'a~ iW~struCti~n commences
within 180 days of the date of issuance of the building permit. and must be comPltS.~~BQtttl):QQJ6PtJCCJ.'Num_'~~~hil9-~nths of the
issuance date. Class I structure permits are sub~ect to the General,Ad.ministrative R~~s"'Jr theGt~&fr:l'ha. ~m eSJ!~~~expiration
, . "mdrames for begInnIng and complet2!.'!l.'i!lll>'t"l1lt160Ml'il. . 'r\wN$Hlr
I, the underSigned, agree that any construcnon, reconstructIon, enlargement, relocatIon, It)UabdW'Qi. a..Sg,\l~~;' ,€9IiAYn;j;'td me use of land Ot
structures requested by this application will comply wjth, and conform to, all applicablc~~ ~tGfb.mlam'1i. "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of LC. 36~7 et seq, Ge~Hl Assembly of the ~~ na, and all Acts amendatory
thereto. I further cenify that only kitchen, bath, and floor drains are connected [0 the sanitary sewer. I further c'ertify that the construction will not be
US~d or occc1 until a Certificate of Occupancy has been issued by the Department of Community Sm.ices, Carmel, Indiana,
'/,J r;],,,. Q.~5J J'/.7-
"Signature of Owner or Authorized Agent Print CaW I
.,
""'<:E USE ONLY: ************** ********* ** *** **** * ***** *******~*****~*** **** *************
'-.., Filing Fees: 0-1 :). 3 0
'-..,INSPECTIO RED: ' 1 J1
'" - ') L F t' Under Slab Base Inspections: d 7
'O!I' er 00 In S 0
"', Cert. of Occupancy: 3. )I
# Charged Re-
ReViews
,,;gA" 1-I1-D7
Jept. of Community Services (Date)
"~NTIAL
Additional Fees
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