HomeMy WebLinkAbout07040060 Application
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City of Carmel/Clay Township j ~ Permit #: o7ofo06o
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
-- ,-. .,... .'- , ^. ., '. , __. . ~, .- ,
STREET ADDRESS
l....I',- . "-"cqy'.'_..l,/f ,,/; '<J j '!i '..; ':';.~~~""STA-rr=
CiTY OF' C,j-\FiME:_ I CU.,Y i GWNSHIP
ZIP
--', " > ":.'\ \\ " \\
TYfiJJ~NSTRUCTION: /;\. TYPE 'OF ' . ROVEMENT:
r:J!f SINGLE FAMIL Y/<:: . . N~ ~RUcrURE
o TOWN HOME,' , . 'i~ ROb'M-ADDmON(S)
o TWO FAMILY, ~ ~ 0 PORCH ADOmON(S)
# of units: ,\\ ~~ P/REMOgEt--
o MULTI-FAMILY/:,\ \ol ,/0 ACCESSORY BUILDING
#DfUnits:\:,\\\. / q/DETACHEDGARAGE
o RESIDENTIAL (ff'f~\/ 0 ATTACHED GARAGE
Additions, Remd<;f\els, Etc.)///O DEMOLmON
PROJECT INFORMATlON:/ .
Early Release "..... ~anufactured FO~':TION -:VPE: (Check all that apply for the new
Permit: Y 2// i Trusses: Y N con on area
. - - 0 CRAWLSPACE 0 ePST & BEAM .
LotSpht: _Y N Sump Pump: f Y _N 0 SLAB /' ~BASEMENT /'
Does any part of the property lie within a special Flood designation area: _ Y LN WALKOUT:_ Y LN
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 permit, 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 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 funher certify that the construction will not be
used 0 pied until jilcate of c:?CYPaDcy ~ ~een issued by the Department of Community Services, Carmel, Indiana.
~ ~ K-.n-C <)~o./ff,. P~SI~etrt
Signa re of Owner ory orized Agent Print" Date
OFFICE USE ~LY:**************************~*******************tf~/**~()*****************
Filing Fees: d&L (/
INSPECTIONS REQUIRED: ., 'i0 r; .---fi # Charged Re-
Base Inspections: LL ~ -..) (/
Under Slab 0 r~ .--r; Reviews
Cert. of Occupancy: v c 0 V
Sj~ /
~ P.R.I.F.: c2 C:/ (J 0
~ ? TOTAL:_ ~,.;:z5t1(), ~O
(Date) ..::.t arrl m
Fee Received by:
LOCATION
& PROJECT
INFO:
LOH Y ')~
SUBDMSION NAME
SEWER UTIUTY /J
PROVIDER: ~ 7 R W D
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COM SION / BZA I BPW DCCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL_AND/ORSE':TIC PERMIT #'S (IF APPUCABLE):
,.. \\'
~\
ptdJ
/-/7;;10
,-
Oi '1 S; () 0(.1 . Ot)
#07tP!tJ, 5C,
Which plumbing codes will be applied to the construction:
~temational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
Additional Fees