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HomeMy WebLinkAbout06020073 Application ~':ty ofCarmellClay Township (/f/tpermit #:(N O~ 0013 ....:.SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION ,"or Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures TYPE OF IMPROVEMENT: ~ NEW STRUCTURE o ROOM ADDmON(S) o PORCH ADDmON(S) o REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLmON PROJECT INFORMATION: ------ 0 Early Release ' Permit: _Y -XN Trusses: ~, V ~ CRAW Lot Split: _Y -A-N Sump Pump: ,N -, ~ SLAB Does any part Ofth~"pr~~,:~;!!!!;Yo(it!li_l\a-Spec~iiFi~d'J.~.!1~~tion area: _Y XN . .. _ '. ,~-...li~'p{"'A 1."lltl 0.:1 ......~';J_.._- For Single Family and::rw<?:Fainily dwellirigs~ a.dd~ti~E-,~"rem~4~ls. and/or accessory structures, this permit is v~d only if construction commences within 180 days of the date of ~uaiiceohhebtilding Pe\fui~:AA~1 ~~lb8.completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I s~~c:ure.peql!!t~~...~P)$~lW'~etal.1Ulniillistii~e Rules of the State of Indiana (See 675 lAC 12) regarding expiration L t: j-" I ~..:... t-tiptel~1U1l~ryr ~..:ftJ9Q.!P.dl~ompleting construction. _ .,.~" ~ .~ " . I, the undersigned, agr5\t\ii( an~f(1I11SttMtlg.~ reeonstm~on, enlaigement, relocation, or alteratioX:':~~.ftffi5rw~t~y ~p~ge ~ tlj~_ us~ 'of land or s~ctures req~ested by this application will col*M\yj4~ftbV~.d c~nform to, all applicable laws of the StfJt\WiI~~ ~_~!~5l_~oxiWg 9n1lnal1Se of Carmel Indiana - 1993 (Z- 289) and amendments, adopted under authonty of LC 36-7 et seq, General Assembl\i 0~l'lslQ:<'6F1nHiiilil an1tan 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 used or cupied un a CertiB' te of Occupancy has been issued by the Depanment of Community Services, Cannel. Indiana. j'\d\\/ A HLlSb"" Print I ONLY:***********************************************~~*****!**************** Filing Fees: '7--3 f, () () INSPECTIONS REQUIRED: '/ _ J'- ~- Base Inspections: " 6 7~ tJ # Charged Re- (!fpper Footin~wer Footini) Under Slab e ..r /(J ReViews Cert. of Occupancy: c::L I ' ) ~inal S~ P.RJ.F,: I'd.. 'I- 00 <--?~MfIg.~~~L:J //;' &/_ ~/:[ 6 0 , I{;/e-c {::'" / _ , Y_' ;~ 0.-/ c_ ,-- " _ {// /~ JER of _':ORD: NAME \ill SI- BUILDER'S EMAIL ADDRESS PROPERTY OWNER: (don STREET ADDRESS 2, -'5 G kbe.. SI- LOCATION & PROJECT INFO: LOT # SUBDMSION NAME of ne. .-\- re.e..+ IP SEWER UTIlITY PROVIDER: CT NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): TYPE OF CONSTRUCTION: ~ SINGLE FAMILY o TOWN HOME o 1WO FAMILY # of units: o MULTI-FAMILY # of Units: o RESIDENTIAL (For Additions, Remodels, Etc.) 11 , - 9 ''2 - '2-- Dh Reviewed/App ved: Dept of Community Services (Date) S:Permits/Forms/ILP RESIDENTIAL Fee ReceIved by: PHONE ~7 - 582-0'100 FAX 3n-5B2-CAo 01Y Ca.. n\E:-\ STATE I ZIP Lj.("()32. BEST MErnOD OF CONTACT: \ .Co,'Y'\ e 1'1,0..\ PHONE FAX ~\, -5&2-oQCO 3lf -56:L- o CITY Co..( ."r\e... STATE ~ ZIP t-~ 032- SECTION 2. ZONING: -~.-_.---~--- --SQUARE--: ," ..:, 1 r~cX?TAGE:;C;:Ht:;' ) 0 , -.1 l,.__~. ~ l.D \r~\ ft~~{ (c)~; ! ,.' 1_ .____._._ ESTIMATED CQ?fjQ~ CONSTRUcnON~ (EXa.UDlNG LAND,VALUE) 'I' \1. '\ I \\J ~.\ 'l'lli I I ''I I j. ll~c.o ! , ~ 'Iii li\ IlL)} lL.J I PLUMBING CONTRACTOR: L D Me(LlO.\I i (~(\t--.. - ---.-. Plumber's Indiana State License #: lCO i(ol" 3 Which plumbing codes will be applied to the construction: );g(Intemational Residential Code w/Indiana Amendments o Unifonn Plumbing Code w/Indiana Amendments (Multi-Family Construction Code) (Check all that apply for the new POST & BEAM BASEM ENT WALKOIlT:_Y~N ~. IS'Olo \2 13 Or) Oate Additional Fees