HomeMy WebLinkAbout07030173 Application
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'City of Carmel/Clay Township Permit #: () 10 'Z,n/1J3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLlC.A!TION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory St~uctures
I
BUILDER of NAME
RECORD: 6unFDf<j) !teAL bmTE H.
PHONE
S8/-S3SS-
FAX I
S't/-S3'l?
STREET ADDRESS
:Z2l)~ E.
c tf- sr.
CITY
..::z::A;])?L:5
STATE
:Z;tJ
ZIP
S1?l </0
.5/5
BEST METHOD OF CONTACT:
C -"""A'L-
PROPERTY
OWNER:
NAME
l.</crote D
STREET ADDRESS
0(, 6-
PHONE 5f/-S-3S-~ FAX SVI- S'.3'19
L CrATe M we/(S L<..C
CITY STATE ZIP
..:z:t.J .TN 9?.2yL>
SUBDMSION NAME SECTION ZONING:
BI J1?P-
LOCATION
&. PROJECT
INFO:
LOT #
3~
W" ESTIMATED COST OF CONSTRUCTION:
p. CA/(/YIc L- (EXCLUDING LAND VALUE) 3S-C>, DO 0
R; . Ci:JMt<~~1t1 BZA I BPW DOCKET "S T It It: ::tI:=:3:::t qO I cr
NUMBERS;TACDATE(S);AN ~. ~WE '6~6iO~~s. #'S(IFAPPUCABLE): :z. 0 iSle;
TY E OF C N 0'~6 \.~ ;\\~ii'Cifl MPROVEMENT: PLUMBING CONTRACTOR:
~ ~ i,cll' ,~0'" ~
o SI ~:o\ s>\1l' o~\~' \ c; NEW STRUCTURE J( cr P LL.t Y'7BJAJG
00 TO ME 0'<: C .-:>..\l\<c'''' "'~ ROOM ADDmON(S) Plumber's Indiana State License #:
lWO FA~ 01'-'" ~\)\r 0 PORCH ADDmON(S)
#Of~~~V '\ 0 REMODEL Gf' {O OOIDOO(e
;gi. MUL~~ <I 0 ACCESSORY BUILDING Which plumbing codes will be appIied to the construction:
# 0 I. _ 0 DETACHED GARAGE 0 International Residential Code w/Indiana Amendments
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLmON % Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
SEWER UTILITY
PROVIDER: ~"'i
. ~.
SQUARE
FOOTAGE: !?, 1St,:.
PROJECT INFORMATION:
Early Release
Permit:
Manufactured FOUNDATION TYPE: (Check all that apply for the new
_Y Y: N Trusses: Xy _N construction area)
o CRAWLSPACE
Lot Split: _y -X..N Sump Pump: _Y XN ~ SLAB
Does any part of the property lie within a special Flood designation area: _Y KN
o POST & BEAM
CJ BASEMENT I
WALKOUT:_Y_N
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 6751AC 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 under 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 Certillcate of Occupancy has been issued by the Department of Community Services. Carmel. Indiana.
jJ~ ~ 5<:...077" J::/l...C.sFAGl-l .5-,V-l>7
Signature of Owner or thorized Agent Print Date
OFFICEUSEONLY:*******************************************************~****************
Filing Fees: /-e-;:' CJ{f
I ECTIONS REQUIRED' .
.. Base Inspections: . (!) # Charged Re-
pper Fo. Lower ooting Under Slab '7 H A"l 0 Reviews
Cert. of Occupancy: /"--JI ~, (/
P .R.LF.: [('VI \ 0 fAj5 / fJ: tz,eX. Additional Fees
e4- TOTAL, -# ~. 012
~_LV1 /J4!1 /fl / ,t..,'/ ~
FeeRe db: - v d (!, ..7