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HomeMy WebLinkAbout06020019-Application , \(y. ~.~ City of Carmel/Clay Township \)J 0"- Permit #: O~O 'J-ooA RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER of RECORD: PHONE FAX ~-DJ3/ BUILDER'S EMAIl ADDRESS PROPERTY OWNER: v / PHONE FAX CITY STATE ZIP LOCATION &. PROJECT INFO: Ley SECTION ZONING: S / SQUARE FOOTAGE: 5777 SEWER UTI).J11 ESTIMATED COST OF CONSTRUCTlON: PROVIDERct ct EXCLUDING lfr~!?,~VAh~~~'~ r- "~ l). , \; ~~~~~:S~~A~(S)~~~D/OR oc~u~~RdL~~~D7g~~~~~Np~:~! :'~~I~~~:c;rCABLE) T i: i ~) ) 7e~::'?,,,::',~_'L.:::=! i I \'1 i TYPE OF CONSTRUCTION: ~OFIMPROVEMENT: P UMBINGCONT1'\'1 ~nn~ Ill,l !,ill '>---INGLE FAMILY C/ ~ ~ "tW STRUCTURE J c.., - 8 ~~~:~I~~ 0 _DITION(S) lumber's Indiana State license #: ~~ I # of units: 0 otPi~ CO l_ I -~ ~ o I!o comp/ja o MULTI -FAMILY 0 ACCES9Il1IeIiI@W n~ vlltlwll'~~lf/WIB~8n es will be applied to the constru # of Units: 0 ~1JQJljfl ,. OcaJ~-+~lil'mation~ Residential Code w/l ia o RESIDENTIAL (For C1l:/1lVrl'\ 01\/ T'\Lc- Additions, Remodels, Etc.) 0 - - DE~~~ '.:l'1 c i, LPIJ.Q\{~fl8nbing Code wI Indiana Amegm DE LI ~ LA'r TQlll"Niltiljlv,,,,nstructlon Code) PROJECT INFORMATION: ISJO/ANA 1~>)I1,'" ~ Manufactured ,'OUNDAll0N TYPE: (Check all that a y for the new PEarly .Rt elease Y T 7"l construction area) '"' -I I erml : russes: Uf' N )V _ - /'\ - 0 CRAWLSPACE 0 POST BEAM~nISh Lot Split: _Y _ Sump Pump: -.-J..:P _N 0 SLAB ~ ~^S ENT l3smr Does any part of the property lie within a special Flood designation area: Y ~ WA KOUT: Y For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid only if c mences within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS 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 struc(Ure, or any change in the use of land or structures 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 LC. 36,7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary se\ver. I further certify that the construction will not be r occupied until a Certificate of Occupancy has been issue the Department of Community Services. Carn;.c1. Indiana. / I :eU U I t. d /r;!i[OfO Date OFFICEUSEONLY:***********************************************~*~~******************** Filing Fees: II J d.. r;7o r- ~PECTlONS R~QUIRED: Base Inspections: ./ ( 7. SO '-uppe:- r~ Lower Footi Slab .s-- /0 Cert. of Occupancy: ~ I. J ~ Si~e P.R.LF.: );;2' // ;N! (/~ TOTAL: -/;7 :i/r:?0-V. ?iJ '--~ //).;:.- //~cc~ " (/(/r:;:>-2--- Fee Received by: .........--- # Charged Re- Reviews Additional Fees M Reviewed/Approved: Dept. of Community Services S:Permits/FormS/ILP RESIDENTIAL (Date)