HomeMy WebLinkAbout07060263 Application
., City of Carmel/Clay Township Permit #:01nbO~(P3
I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLlCA'FION
I
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
,
,
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIUTY ~, ~
PROVIDER: I...- \. '" 'Wy
L\L.
,'*'-Icb
WATER UTIliTY
PROVIDER:
STATE:
ZIP:
cm:
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BEST METHOD OF CONTACT:
eW'p-':'\
PHONE: ~
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ZIP;
'-I(p';;JfI)
STATE:
-:r:-1J
SECTION:
SQUARE
FOQTAG .
NAME OF lfTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABlE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
"" SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions, Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
_Y L,.,
_Y -\,LN
o CRAWLSPACE 0 POST & BEAM PIER
~s;muGiIi~ALKOlJT:_Y ,/"N)
For Single Family and Two Family dwellings, additions, remodels, and/or c ~_t\lCJ~p:H.aJ~ifu'fl1~ 'SiC construction commences wit,hID ISO
days of the date of issuance of the building pencit, and must be complete ~rri5catt ~~BPyli.QG&I.) m ~f the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indi~a ee 5 acA:t.n,tt~6P: lb6n-~frames for beginning and
comp1eti'l!lP:>~ C lV\IV' V TnWNSl-llr
I, the undersigned, agree that any construction, reconstruction, enlargement, reJbBflo~pIi&rArm~\lrtJ.(:G~'ant ~ange in the use 'of land or structures
requested by thiS application will comply with, and conform to, all applicable Im~lk.StatHf thd.LiPF::~~ ~r~ning Ordinance of Carmel Indiana - 1993" (2-
289) and amendments, adopted under authority of l.c. 36-7 et seq, General Assembly of the State,of Indtl}lk'a.\fala~ 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 Certifica.te of
Occupan has been i u by t artment of Community Services, Cannel, Indiana.
Lot Split:
~OF IMPROVEMENT:
NEW STRUCTURE
o ROOM ADDITION(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
Manufactured
Trusses:
z=~
Sump Pump:
III \1'
TAX MAP,PARCEL #:
I" --L .
,
PLUMBING CONTRACTOR:_..____.~__.
~\\\'f'A'7 Y\"v-r.h\'o
Plumber's Indiana State License #:
\)\ D ~rQt
wh~plUmbing codes will e applied to the construction:
--{j![ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
1./;)'7 -t::, '/
Date
OFFICEUSEONLY:*****************************************************~* **************************
FI' F . 70~ (J{J
INSPECTIONS REQUIRED: ling ees., . : "--0
_.. "' B I ct -:) J' 7. ) # Charged Re-
@per Fo'!!iP9 LEer FOO~ Under Slab ase nspe Ions, ' '0 ReViews
. E~ ~ Cert. of Occupancy: . ') S. y
euiih..5> rMeter~ Final Site I. ' 00
'-= _~ _ _ P.R.I.F.: ' Additional Fees
(
'.eviewed/App ved: Dept of Community Services
')erm\tsIForms/ILP RESIDENTIAL
\
j- 3-67
(Date)
TOTAL:
~~
Date