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HomeMy WebLinkAbout06020070 Application City of Carmel/Clay Township uJ'~(,.", \W Permit #:D~O ~CX'J7D RESIDENTIAL IMPROVEMENT LOCA~N PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER of RECORD: o. :>71-(,'\01 ZIP 410 ~o PROPERTY OWNER: BUILDER'S EMAIl ADDRESS S", ,+ >-ry~;,(.;u sh t. NAME (l I dJ l \""n,.,,(rJ STREET ADDRESS ., ~rtr J b<;1.l1e\ LOCATION &. PROJECT INFO: SUBDIVISION NAME Sr Q.r.e.~l. SEWER UTILITY PROVIDER: S'7Q-(,,300 CITY STATE """L->o I S -!..r..J BEST METHOD OF CONTACT: PHONE 'i43 - ~3?;)- FAX STATE ZIP SECTION .s ZONING 5 J- SQUARE '1// FOOTAGE: c>''TLJ PLUMBING CONTRACTOR: \ll"l~ber's Indiana State License #: Which plumbing codes will be applied to the construction: o Intema~1 Residential Code wI Indiana Amendments o Uniform ~~~Ode w/Indiana Amendments (Multl-Famll~ n Code) FOUNDATION TV .~dle~k all that apply for the new Early Release anu a U construction area) ., ~~ Permi . _Yy' .. ~N&I Trusses: - Y _N --e- LSPACE 0 11 ~ BEAM Lot Sump Pump: _y./ N )2S{ SLAB- '-riA- 0 BA 6M00'f oes any part of the property lie within a special Flood designation area: Y WAL~ Y N For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit j, alid ~nly if construction commences within ISO days of the date of issuance of the building permit, and must be completed (Certificate of 0 ancy issued) within 18 months of the iss ate. Class I structure permits are subject to the General Administrative Rules of the St, ndiana (See 675 lAC 12) regarding expiration nstruction, I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, 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 l.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify t t only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or oceu . d a crei{jcaec of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. ~ rYl.JI.-<) s: :-1,4 '2-/<I-Ot, Authorized Agent Print Date OFFICEUSEONLY:********************************************~*************************** Filing Fees: /-57,50 I PECTIONS REQUIRED: / / f}. e-{2 # Charged Re- Base Inspections: / (!!, ..;> _ Upper Footing Lower Footing Under Slab ' &;" I , ~O ReViews Cert. of Occupancy: Q.. _ Q ~ughI::0 MeterBase ~I !'iit0 P.R.I.F.: WJL 1M Reviewed/Approved: Dept. of Community Services S;PermitsfFormsfILP RESIDEtmAL (Date) Fee Additional Fees (!9TAL:J. #3foQ,65 /J7 ~ 3-)tJ-6