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HomeMy WebLinkAbout06020083 Application City ofCarmeI/Clay Township t- vVtpermit #: Ob?) ,)(J'f'J63 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, 8. Two Family: New Structures, Additions, Remodels, 8. Accessory Structures BUILDER of RECORD: }\AME el?6\..E .,sI&,EET ADDRESS r.-D.Bv'K PHONE CO"-i~RJQ~i fJL 21..2"3 t 4 FAX '5/7 g2s--DZ2 '1/0 ,'l27 ZIP '-I~'"22-4 BEST METHOD OF CONTACT: I/O '-7<?'2J CITY Sf ATE IN NbPLS BUILDER'S EMAIL ADDRESS c....\~l-EC PROPERTY OWNER: NAME tv) M!-IL STREET ADDRE~ \2\'1K LOCATION 8. PROJECT INFO: lOT # SB'C6tL> f3PJ.- . N IU- 6\iZNOUt0 PHONE - l(> 1"'7 CITY ghoXtJ CAe iw.-t b{2.ol/ fZ- FAX RB1:> &Ol-D ZIP D '3 z... ZONING:..J.:'::.. } ~-,- ~ SQUARE 'z.z..&!>1'!:S LJ lPo3 L FOOTAGE ~5 /:>.n IC- ESTIMATED COSf OF CONSfRUCTION, 73 i TV '3 O,~vD STATE \10 l SUBDIVISION NAME H \ brl SECTION ADDRESS Of CONSTRUCTION \ 1.. \ t1 is .R'f"..t:> 0 D\.. t> ~W SEWER UTILITY PROVIDER: \ZUJ0 :Ii (EXCLUDING LAND VALUE) WATER UTILITY PROVIDER: NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): TYPE OF CONSTRUCTION: ~ SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units: o MULTI-FAMILY # of Units: 'rti RESIDENTIAL (For f' Additions, Remodels, Etc.) TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: o NEW STRUCTURE c..p 305oClO:31 o ROOM ADDITION(S) Plumber's Indiana State Licen ,g, PORCH ADDmON(S)(-'~- i" ~ REMODEL 6P6E\III~j o ACCESSORY BUILDIN~ 'M"flE!lumbing codes will be applied to the construction: o DETACHED GARAGE H^ Q-rntemational Residential Code wI Indiana Amendments o ATTACHED GARAGE Il. . .. O DEMO ITION 0 UnIform PlumbIng Code wI IndIana Amendments L (Multi-Family Construction Code) PROJECT INFORMATION: Early Release V Manufactured V Permit: _Y.L::!..N Trusses: _Y ~N Lot Split: _y..J{N Sump pump:-.---,Y)4N. B ~~:L5PACE ~~:E~~M Does any part of the property li~,~ithin a sp~i:i~IFI~bd;d~~igi;~t;<;.:Ni1<lQ.~ Y v1f WALKOUT: y_4 '-"~~"'i';:':"'... i:,' ,".-"!'..'r..;,..:n,....'..... ,,_..:.H, ". _. . .~ - ~..-, "'-"'_ 1 Fo~ Si~gle Family and Two Fa~i1y dwellings, a~it~ns.:~IR?Pjlt.~zcljpl}~;..fffl~g~y ~iructtir~s.' this Pef~\'i\S ;v~t~C~?~}Y rf_~~.n\~.~~~t:~~~- ~_o.~ln~\~~es WIthm ISO days of the date of lssuanft}6fpi~~~pcwmJtrt'}rW ~t})~~~]st.ed {CertIficate ofOccuIpancYlssued) Wlthm 18 montHs of the issuance date. Class I structure per~Fr~s . ~'A.o.t'&"Cl!I\~t!JlAaJntn'fstia~G DISe Stat~ of l~!~~~ (See 675 lAC 12) regarding ~~pirH~on m.l..MM!dAIi:b.:gl~lt6 ~g:qgj]~uctlon. i I r \ \ c ~nnh . ' I 'I: I, the undersigned, agree that any construction, reconstructiofNJt\1rAemeRt, relocatlon, or a:tar~Hon of a strucFu?e~ br an~&ge1n the Hie1ffi land I~Fj} \ structures requested by this application will comply \vith, and coJrbYrn'tX~ll applicable laws of the State of In~~n~: 4nd rhe'";"Zoning Ordinance of varmelj Indiana -1993" (Z~289) and amendments, adopted under authority of LC 36-7 ct seq, General Assembly of the rt~te..bf In~El!..~nd.allActs,amendatory \ thereto. 1 furt~er cem.fy that o~l~' kitchen, bath, and floor drai~s are connected to the sanitary se\ver. t. furthcIjcertifythat the ~onstruction will not be J used 0 ed untIl a CertIficate of Occupancy has been Issued by the Department of CommunIty Servtes, Carm...:.!:.:r;:!!~____._----_.. ) f;,eel'-/l ,4- ;/ U H;J ;z /;l,;'P(Q o OWner or Authorized Agent Print Date USE ONLY: **************************~******************~**~~**~*J~************** Filing Fees: 1i.:2:/L' /_) INSPECTIONS REQUIRED: '/- A 7 # Ch d Base Inspections: _ U.'~f/ () arge Re- Upper Footing Lower Footing Under Slab / Reviews --- Cert. of Occupancy: '5./ S' () ~ Meter Base f"';;;'; S~ FOUNDATION TYPE: (Check all that apply for the new construction area) Additional Fees ( J? ^ / r.... tv, V:.,E,R... "2. -z. I . C(;, Reviewed/Approved: Dept. of Community Services (Date) S:Permits/formsjILP RESIDENTIAL eM