HomeMy WebLinkAbout07040106 Application
City of Carmel/Clay Township Permit #:f)70QQ} 0&
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATi,(fN
For Single Family, Multi-Family, lit Two Family: New Structures, Additions, Remodels, lit Accessory Structures
BUILDER of
RECORD:
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PHONE _ FAX
3/;J - '#771- S'/'z ~-
OTY /"1_ STATE
pt?c:.f-'71 C:7 C-/7,/2./'7 _1. '-L;,..J
ZIP
'76c l
BUILDER'S EMAIL ADDRESS
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BEST METHOD OF CONTACT:
PROPERlY
OWNER:
<2c>/ WM . 7k.-7<Z:
PHONE FAX
- "'0 i'j- 75;7 z. .;-
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cm
Tr~m cr Ctge~
STATE
ZIP
LOCATION
lit PROJECT
INFO:
LOT #
;9)
SUBDMSIQN NAME
rv':' II C.....V7S:,-
SECI10N
-
ZONING:
~p J 'L
SX
;:Z-,J
ADDRESS OF CONSTRUCTION
?>'10 y7J/
SEWERumm c.A~/71e/,
PROVIDER: h :/'_'"::>
NAME OF UTILm EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'s (IF APPUCABLE):
,
7/
a.-...., e..r
C44-A7. c i
y;f,n€!-5
SQUARE
FOOTAGE: / t>' tJ
ESTIMATED COST OF CONSTRUCI10N/
(EXCLUDING LAND VALUE) . S (;> ooc>
WATER UTILm
PROVIDER:
TYPE OF CONSTRUCTION: TYPE~'()F-iMPROVEMENT: PLUMBING CONTRACTOR:
W SINGLE FAMILY gy~~o~,qQg;;N~'/~\f!.UcrURE c.. f' c;y I 0 55 ~~S-
o TOWN HOME -I-o/~~~fOflJ-~ ROqf:1 ~l?pmON(S) Plumber's Indiana Sta license #:
o TWO FAMILY /~ (~ ':?:Y" 0 POREH ADDmON(S) S _ i . I '11/ _ ~,
#ofunits:/''''',,:'' /' _ ~'REMODEt-\~RI1\sl1 UVlMe% '1' Unu:>,1I5.
o MUL TI-FAMlLY '0,'(/- \ ':l(j'- ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
o R:S~6~~~~<~F6f \ 'ft..f(~ 0 /DETACH~p,GARAGE 0 International Residential Code w/Indlana Amendments
, , ' " -0\ /El ATTACHED GARAGE rill' If ' I' d
Additions, Remodels~Etc.) // 0 DEMOLmON r Un orm PlumbIng Code w IndIana Amen ments
\ \\ \\'V // (Multi-Family Construction Code)
PEaRrOlyJERCTeleIaNseF~7\ONJ:~'a-/nUfactured r;
FOUNDATION TYPE: (Check ali that apply for the new
\ construction area)
Permit: \ Y J'N Trusses: _Y _N
o CRAWLSPACE 0 POST & BEAM
Lot Split: _Y _N Sump Pump: A-Y _N 0 SLAB 1'l' BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y A-N WALKOUT:_ Y_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Ocen
issuance date. Class I structure permits are subject to the General Administrative Rules of the State 0
time frames for beginning and completing canst
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or. re, or any change in tbe use of land or
srrucrures requested by this application will comply with, and conform to, all applicab Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (2-289) and amendments, adopted under authority of I.e. 36~7 et seq, bly of the State of Indiana, and all Acts amendatory
thereto I further certify that only kitchen, bath, and floor drams are connected to the s sewer I further certify that the construction will not be
used or oc~ until a Certificate of Occupancy has been issued by the Department of Commumty Services. Carmel. Indlana_
CcHiZ~~ ~/J.du ~ 7fl-~ 5/-~:f-c97
Signature of Owner or Authorized Agent Print Date
- I
nstrucuon commences
"n 18 months of the
AC 12) regarding expiration
OFFlCEUSEONlY:************************************************************************
Filing Fees: /. )~~
INSPECTIONS REQUIRED: ( - /-
-,~--__. Base Inspections: / '7,) 'I 0 # Olarged Re-
Upper Footing/- Lower Footing Under Slab / _(" ~O Reviews
~al ,. Cert. of Occupancy: .s J - ~
Meter Base
P.R.I.F.: Additional Fees
, /d .lOTAL' $3'?S: .2h
~~
F eceived by:
I
Reviewed/A roved: Dept. of Community Services
S:Permlts/FormsIILP RESIDENTIAL
-'25-01
(Date)
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