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Home My WebLink About2002-00003 Application.rie��r. CITY �F CARI�EL RESkDENTIAL PERMlT APPLIGAT��N 4FFICE USE ONLY PERMIT # Please carr�piete form and email ta as an attachment. If you nave ar+y questions, piease call Building & Code Serviccs at �3'ETj 571-2444, Bl!!LE}ER�F NAN1E��p�,eE�Sa� �r--f�IC PHONE3f7�'� 7C7 -S�� $ RECORD t ccn� STREET CITY STRTE ZIP AO�RE33 �%11�1 �[,Jai�r-� �sn s�' rn�»ns .�� .✓ y�' p] E�1AlL BE57 METHqf7 OF Ap�RESB aa,., a�?� e��CyG� ��CGft�G GLC: . c,a�+r COhFTACT ❑ PHOIVE �£�IIA1L PLLfMB1NG �� S7ATEpFIN01ANA CONTRACTOR LICEiJSE NUMSER LJTlLIYIES NAME SEWER WATER ExCAVATOR �� u��TM PR�JECT PARCEL Q� t ga� LOCATION NllMBER [ 7va �.l LOT SLJB0IUISItiN FL�O NIJMBER �y 7.� �IG�Ea�C ZaH� STREE7 CITY STATE Z4P Aoo3�Ess dZ.ddL�3 c�! !3� ��' 6�- Cwr r�+e. � 1`N +��03.� DOES Slle�lYIS10t� HAVE A i40MHOWNERS pF YE3, LEfTER GF }i.O.A. y� ASSOCfRTI0H7 ❑ Y�� APPROVAL REQUiREQj �l �p WAS SUBQ1VkSE0N OR LaT GRANTEp A VARlANC£9 � y�g iIF YES, LE7TER DF [iRANT{Sj �v( �a REQUIRE�} p� WILL ANY EQLtIPNEENt THE SIZE CF R S�BCAT QR ��S � NO LARGER 6E IiSE�? TY�E OF � gkNGLE FA�AILY ❑ TWD FAMILY ❑ 7aWHHOMB E'�'CH L1N1T WILL FiEQUIRE STRLfCl'L1R� _ 5EPARATE APPLICATI�N PF20.�ECY ❑ NEW STRUCTLJRE ❑ RENEDOEL ❑ ACCESS�RY STRUC7URE ❑ OEMOLITiDN DE'fAELS AppITIOH ❑ Roam ❑ Por�h ❑ fleck ❑ GARRGE ❑ Attaehed ❑ LSetached FDUNCATION � gASENEEN7 ❑ Wa�kou! ❑ StAB ❑ CRA1kL ❑ POST � 6EAIN � POST f PIER TYPE CQST OF `a Q EIVERGY CGDE � PRESCRIPTNE � TO7AL UA � RERFCRfAANCE CaNSTFtLIGiION � 1 ¢ V� �� ELEC7RICAL [EJ[CLi70fNQ LRHD] �d�E [] 2020 IH�IANA RESIbENTIAI CQ[]E � 2009 INCI�ANA ELECTRICAL CDUE TOTAL sa�A� ��3a SASEMEN7 FLDOR Fl.00R PQRCHES C3ARAGES FOOTAOE A�VANCE� STRLJGTURAL REP�RTING 7his SecUon ;s requ�red in order ta Camply w.th ihe requ�:ements Of IC 22-t'-21 {PubE�C Law 104, 2Q18y as it re�a[es ta the use oiACfvanCeC Strud�raV Compprtents [1�ghi�veight f-jossts ar iightweight roof trussesy �n C1ass I and C:ass 1I Construdion that. f H��e 1e55 mass �ross-seC[iongl ar8a than sawn fumber o�equivaien; prflportivns usea in an e4ui�alent appfi�asion; anC 2 Are assembied from �amb�stiGle or nanCombusbqle materia€s, or both `fhis daes not in�lude a structuraE assembly. lQist ortruss thai p�a�3des at !eas' i hour of fire Ooes this projact include any Rdvanced 5tructural Corrs}wnenls? Type ef AdVanCed Stsuctural Component {Select ali that apply) LocatlOn{s] In StruCture ❑ Lightwe9ght 1�.1oi8[s ❑ L[ghtweight Roaf Truues unde� ASTM E1 t9' No CEass I structure permlts are subject to the 5tate of Indiana GeneYd! AdminlstretlVe Rulea {GAR B75 IAC 12} regarding expirat4en tlme TCames For beginning an.p Comp�eting tanstruCtrpn. i, ttie underalgned, epreefh9t any ConStneCtton, recon5q'uCtiOn, enlafgement, relocatlon, or atteYatlon 7f a Structvre, ar anych8nge In the use of land ar structures requ04[e[i Cythis appllcaGon will comply with and ConFprm tp all applicable laWS of she Sieta Gf Indlana end the �rmet LfnlFled De�elopmBM Ordfnance [Z�25-17] and am0ndmants, adopted undar authority of {.C. 3�7 et seq, General Assemhly of the State of Ind�ana, and all Acts amendasary thereto. I further eeftk�y Fhat cnly kitehen, beth, and ftccr drains areconnected ta the sanitary sawer, I further cerUfy thasthe censtrue[lon wllf nnt be usad ar ve�upled untll a CertitlCate qf�,OccupartCy or at Su6stantlal Completlon has heen Essued ny tne Department of Cammunity Services. Carmel, Indiana. 5ignature W Owner or Authorlxed Agent " � Oate � 1 Y�