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HomeMy WebLinkAbout06020011-Application CityofCarmel/C/ayTownship ~\-:yD~S permit#:OIaO:((J/)/ I RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER of RECORD: STllEET ADDRESS Sllo 11-(, PHONE SlIS-rls5 .:rnJ:,ls S\[AX. f I ~ 5 STATE ZIP -::LJJ If L :JJ BUILDER'S EMAlL ADDRESS BEST MEniOD OF CONTACT: Phc>>J<' PROPERTY OWNER: NAME C ttY""""'- PHONE 'll't~ . '1~1 FAX LOCATION &. PROJECT INFO: LOT # cm t- C'to',."J SUBDMSION NAME C ) A . afrne WOoCX STATE N % 03.;2. ZIP tHan 1M I SECTION ZONING: SEWER UTI~ PROVIDER: u"-r-LI NAME OF UTILm EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUmY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): ".. L SQUARE FOOTAGE: ........":~\ ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) .----;~'\ /"^ i ".' ~jV? "\\" \~\ TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: ~ SINGLE FAMILY 0- ~RQqs:rURE o TOWN_EASED FOR COQ)J~!?:~f1i~ON(S) o TWO F lect to comp'i,lieee wQ:.I~.~~il ADDmON(S) # of u. . '" Ie and LGC;CYOREM9~i;l. o MULT1-~d~t ~FCOI\!iIViUt'HD{ :AEdEs1!~~U.ILDING O # of UIIIU'- . c 'r;QJ.Y QEIAt1\ffIEDk3~GE RESlD~W<<JliirCARMd- I . 0 ATTACHED GARAGE Additions, Remodels, EtC.)iNDIA~ DEMOllTION PROJECT INFORMATION: Early Release Manufactured FOUNDATION TYPE: Permit: _Y ~N Trusses: Y N construction area) - ~ 0 CRAWLSPACE Lot Split: _Y _N Sump Pump: _Y..i....N 0 SLAB Does any part of the property lie within a special Flood designation area: _ Y LN PLUMBING CONT ~ 1. Plumber's Indiana State Which plumbing codes will be app d o International Residential Code w/lndlana Amendments o Unlfonn Plumbing Code w/lndlana Amendments (Multi-Family Construction Code) (Check all that apply for the new o POST & BEAM o BASEMENT WALKOUT:_YX-N 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 snuctures 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 -199r (Z~289) and amendments, adopted under authority of 1.c. 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 u r oc pied til ertm e of Occupancy has been issued by the Department of Community Services, Cannel, Indiana. J;htv ~. ~r,.jHJ Print djd In/, Date I OFFICE USE ONLY: **************************************** *****~**}*****~***************** Filing Fees: /~) $1 7) INSPECTIONS REQUIRED: ( C/' v ~ Base Inspections: ') 3. -;, t # Charged Re- - ReViews Cert. of Occupancy: Rough In Lower Footing Under Slab Meter Base Final c!!f;:J Upper Footing P.R.I.F.: Additional Fees T-oT~L~/ y: / /1 ~ ~ '-?/&cZ"dV r- ~G~(liA '-, / 1~.?> proved: Dept. of Community Services (Date) s{ILP RESJDENTlAL Fee Received by: