HomeMy WebLinkAbout07040232 Application
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City ofCarme//Clay Township Permit #: i!J7r)L+{);).3f).
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory StrJctures
BUILDER
OF
RECORD:
\" \:St.-
PHONE:
~'1(.,- QCo5
FAX:
'S'1
V' 1-<,<
CITY:
5::>-2...
Cax...-a \
STATE:
~
ZIP:
Ltlo03
BEST METHOD OF CONTACT':
-\-
PROPERTY
OWNER:
FAX:
-L~ \
STATE: \ \
-:r.N
ZIP:
'-t
CITY:
LOCATION
& PROJECT
INFO:
ECTION:
~OO;)..
ZONING:
'Y::
ADDRESS OF CONSTRucnON:
13(XY~ CIX
c
:::rt .
WATER UTILITY
PROVIDER:
SQUARE
FOOTAGE:'l)?;63
TYPE
F CONSTRUCTION:
PE OF IMPROVEMENT:
d NEW STRUCTURE
6" ROOM ADDmON(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
ESTIMATED COST OF CONSTRUCTION;
(EXCLUDING LAND VALUE) ~ 50
~h ,
UL!:':
TAXMApPA.~CELC#:. ,;:.. rp i1\'~\li I.' ",'4",
I c ~ tj"-' .{ .. , ..> , ',< ....._ 1\ '; I
j _~ :;:-.-.:=1 \'. p . '__~ .I \../ '-:$.1 \ '\'
~! i \ '--=:;0 ,-:~.:./__'--__:.--- I'i \,:
PLUMBING CONTRAP-OR: ~ \ \ 1kt1t\
'I ~,\ I I, I'
~ 1<.\ c-'C- ~\A,u!--rt'APR _Q,i,(lq1, ll-h\.
Plumber's Indiana state License #: 1 D \
'Ll '\l
PC \6\ oc:b_1 (,,-
~ ' i
Which plumbing code will be 3p'p'lied.to.the-construction:-
o International Residential Code w/lndiana Amendments
~ Uniform Plumbing Code wi Indiana Amendments
SEWER UTILITY
PROVIDER:
c.. '\ Ri.ob
NAME OF UTILITY EXCAVATlON CONTRACTOR; Pu\N COMMISSION { BZA ( 6PW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
Early Release
Permit:
Lot Split:
_Y~N
y$,...N
Manufactured
Trusses:
Sump Pump:
_yK-N
"Ly
FOUNDATION TYPE:
construction area)
N
o CRAWLSPACE
o
PROJECT INFORMATION:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pe if construction corrunences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occup hin 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 6 " arding expiration time frames for beginning and
completing constructio~ I
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alte " io tructure, or any change in the use of land or structur~s
requested by this application will comply with, and conform to, all applicable laws of the State 0 ana, 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 connect to th~. . ewer. I further certify that the construction will not be used or occupied until a Certificate of
_oee eYh, ee ;edbY Dc / ~tysernc1Z:~$:\\ S , 'S,^CL~( d /?x:/(j7
Signature f OWner or Auth. Age Print 0;;(;1
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: /1 r; 1. 30
CU;;;r FO~ ower ootin Under Slab Base Inspections: r/ ? 7.s-;
- - Cert of Occupancy: SS.s(
e Met~ ~ P,R.I.F.: / ~ bl ()r)
TOTAL: ' 7f o? r;7f.i{ 50
# Charged Re.
ReViews
Additional Fees
111
Reviewed/Ap oved: Dept. of Community Services
S:PermitsfFormsfILP RESIDENTIAL
5.4~o
(Date)
Fee Received by:
Date