HomeMy WebLinkAbout07030171 Application
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City of Carmel/Clay Township Permit #: D 7c930J 7/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
BUILDER of
RECORD:
NAME
DREES
PROPERTY
OWNER:
CITY
STATE
II-!
BEST METHOD OF CONTACT:
ZIP
'Ii :17'6
S . f
. .c.
FAX
CITY
STATE
IN
ZIP
"
LOCATION
llr. PROJECT
INFO:
SECTION
ZONING:
s-
SQUARE
FOOTAGE:
f
SEWER UTILITY WATER UTILITY
PROVlDER:C A '"[, \ ~~DI(R:
~.':.-""-:':-:.J, .--.~-,,, \
NAME OF UTILITY ExCAVATION CONTRACfORj PlAN tOMMI~SION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S~~.LORi~~~~{" C PERMIT #'S (IF APPUCABLE): J"b CON T
TYPE 0F CONS\~'lp10N:~ TYPE\ PLUMBING CONTRACTOR:
00' SINGL~\~A\~.Y '2. ~ 't!(J \ ~ f. S....;,.fI
o TOWN tI~ ",~'i\ 0 Plumber's Indiana State License #:
o ~~/;'~I- 101?77
o MULTI-FA L
# ofUni .
o RESIDENTI L
Additions, Remodels, Etc.)
ESTIMATED COST OF CON5jj<UCTlON:
(ExCLUDING LAND VALUE) 'If J 3 g 000.
Which plumbing codes will be applied to the consb-uction:
~ International Residential Code w fIndiana Amendments
b Uniform Plumbing Code wfIndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION: ' ~L.
Early Release v<: Manufactured FOUND~T10N TYPE: (CheC~~~~apPIYforthenew
P 't Y . N T j N construction area) . ,r. ~o
erml : _ _ russes: v'G_ NV ~
Lot Split: _y =:Z' Sump Pump: _Y _N is ~~:LSPACE ~~ E~' I
Does any part of the property lie within a special Flood designation area: _Y ,*,,'<:- (Pc =--y~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, ~~~ ~v .-rj. onstruction comm~nces
within 180 days oE the date oE issuance of the building permit, and must be completed <stert. _ ~~i within 18 months of the'
issuance date. Class I structure permits are subject to the General Administrative Rules of kQl~~~.~ ~ ~C 12) regarding expiration
time frames for beginning and comPle~in "^~ti#f~:V ,1>-'.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, n ~.... ~ ~ ~'&ange in the use of land or
structures requested by this application will comply with, and conform to, all applicable la ~ jS t@ I.u~ a, ~e "Zoning Ordinance of Carmel
Indiana -1993" <Z~289) and amendments, adopted under authOrity of LC. 36-7 et seq, GeneraTAsse ov]1 tate of Indiana, and all Acts amen\:iatory_._
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary se G~er cenify that the construction will not be
used or occupied until a Certificate of Occupancy has been issued by the Department of Com Services, Carmel, Indiana.
" , . CI
LoRI A. f)iRbSo/llc;.-fllMl;lIll 31:J.J/cq ,
Print Date I
I
OFFICEUSEONLY:**************************~******************f**~*A*~O*****************
Fllmg Fees: / 0 .5 U 'QL
INSPE REQUIRED: ' ., 1 J //l Ch d
, Base Inspections: . / ~....:. J 1/ # arge Re-
<:::;i Reviews
Cert. of Occupancy: . '7 3. <( d
/:1 (; I .10
, :d~02), fa
o
o
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Reviewedf Appr ved: Dept. of Community Services
S:PermIts/Forms{llP RESIDENTIAL
P.R.I.F.:
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Additional Fees
7
Fee Received by: