HomeMy WebLinkAbout07040013 Application
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City of Carmel/Clay Township' Permit #:D!l11LD12J;3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, Bt Two Family: New Structures, Additions, Remodels, Bt Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
Bt PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME: ~___
-J~4oN Co!6\lWcqbD
STREET ADDRESS: It.....,.. .-.
(,10~;]b (jfi.
BUILDER'S EMAIL ADDRESS:
iVI~e.- ,~. COM
MAe-ii. Ron!
NAME:
STREET ADDRESS:
~'tC De..
Lq~q
lOT #:
SUBDIVISION NAM~(,S MlnL
lis
ADDRESS OF CONSTRUCT10N: S.AML A '5 ~I[L
TYPE OF CONSTRU
Jl<II SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
\Xl RESIDENTIAL (For
Additions. Remodels. Etc. J
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
I$l( ROOM ADDmON(S)
is' PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
/' Manufactured
y ~~ Trusses:
Y ~N 7 Sump Pump:
_Y)LN
_YAN
PHONE:
FAX:
3lt~ -{.,O::{O
3i=t-- S3<, -382:
CITY:
STATE:
:Q
ZIP:
~l.'3
A->t 01.\
BEST METHOD OF CONTACT:
/1'14
,tze.COM
PHONE:
FAX:
4(.03 'L
3(*-8~3 -~1-'Z.
CITY:
STATE:
W
ZIP:
~
Which plumbing codes will be applied to
o
o Unifonn Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~ CRAWLSPACE, / 0 POST & _ BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single FamIly and Two Family dwellings, addItions, remodels, and/or accessory structures, thIS penrut IS valid only if const~ction
days of the date of issuance of the buildmg permit, and must be completed (Certificate of Occupancy Issued) WIthm 18 month 0 . Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding e;lf~ fr gmrung and
completing construction
I, the undersIgned, agree that any constructIOn, reconstruction, enlargement, relocation, or alteratIOn of a structm1~l e use of land or structures
requested by this applicatIOn Will comply WIth, and conform to, all applicable laws of the State of Indiana, Z ~,~ nance of Carmel Indiana - 1993n (Z-
289) and amendments, adopted under authorIty of I C 36-7 et seq, General Assembly of the State of Indlan~~ amendatory thereto I further certify that only
kitchen, bath, and floor drams are connected to the sanitary sewer I further certify that the constructio:~ot be used or occupied until a Certifica.te of
Occupancy has been issued by' Department of Community Services, Cannel, Indiana.
~
Signature of Owner Of' A
--1.'b:cVlA~' J: ~
Print
'3('1JJ/6t-_
Oa..
OFFICEUSEONLY:**********************************************************~*******************
INSPECTIONS REQUIRED: Filing Fees: //J I. ~
~. Base Inspections: /4-."J.. c50
@er Footl~v Lower Footmg Under Slab .. <" )J
C5J Cert. of Occupancy: ' ~<). J 1/
(!fc'ugh ED Meter Base Fi al Site
P.R.I.F.:
- q- 07
(Date)
S:Permlts/FormsjILP RESIDENTIAL
Fee ReceJv by:
# Charged Re-
ReVIews
Additional Fees