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HomeMy WebLinkAbout06020101 Application City ofCarme// Clay Township b Permit #OIdJ;{ D J 0/ RESIDENTIAL IMPROVEMENT LOCATIO~T APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures Which plumbing codes will be applied to the construction: ~ International Residential Code w/Indiana Amendments o Uniform Plumbing Code w/Indiana Amendments ~ulti-Family Construction Code) PROJECT INFORMATION: RELEA :>[D FOR CONSTRUr.T/ON E I R I /' M f ct d /,S"b,FOUNDATIONo'TYPE:p(C?,eig lcm'Atapplyforthe new ar y. e ease ~,anu a ure ~'constructionareaf ,,"', ..'" I kf f II Permit: _Y ~Trusses: _Y ~N 'o''' ""'"'' 8'1) ~oc21 Codes. /" '1:-uT0,cCRAWLSPAGE., ,~POSJ, EAM Lot Split: Y Sump Pump: ../Y N Lo"" '0' ',,' ~o'"..",,-,J,lY ~h'A'S' E'~ - - - - r',--", ,-SLAB uo. B 'MENT \';i I ~ 0,- l.' .. ,rl / C' f," . ''', 'hllD Does any part of the property lie within a special Flood designation area":""'ViCy lff ,/ i u~~our: BUILDER of RECORD: NAME 'I " - C If\'1t e50 I Fwet t+olYlc2A STREET ADDRESS "no e. c ; l2..-l, q,r-O to. BUILDER'S EMAlL ADDRESS c./jI.!c,I:.Ta e. J'lJflO, c..o'n PROPERTY OWNER: NAME Sj:>,mfl STREET ADDRESS LOCATION & PROJECT INFO: LOT # "* SUBDIVISION NAME "" It u:.Jo Del NAME OF UTILITY EXCAV 11 CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCI<ET NUMBERS; TAC DATE(S', AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): TYPE OF CONSTRUCTION: !2f SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units: o MULTI-FAMILY # of Units: o RESIDENTIAL (For Additions, Remodels, Etc.) TYPE OF IMPROVEMENT: 1l(( NEW STRUCTURE o ROOM ADDmON(S) o PORCH ADDmON(S) o REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLlTION PHONE Jftc- &.~~q.sOl.? FAX ~ 4"'\f- ~40( cm STATE ::;:;1 ZIP 4(..//;1.. OF CONTACT: .1"1-.0...... - -sqo-'i.-rs,:,- FAX PHONE OTY STATE ZIP SECTION SQUARE FOOTAGE: . ESTIMATED COST OF CONSTRUCTION: (EXCLUD!NGo'LA~p:YA~)-;:::';--;i~~ :~~'-'QI":? 0 l:J :; i \ \ 13;':; \-.'_~i i-=:~;; U . \.'/ L:n:,:;; Ii \ ~; ~-t(pSfQcJe-if'6)mQ()1 cIJ PLUMBINGifd,NT'Wi0$:2 2006 .. ii II! ''P"""I J~~.~~ ~I Plumber's Irdi~na StateUcense : Inl'777 Y1-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 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 -1993" (Z,289) and amendmen~pted under authOrity of LC. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only ~ath, and floor drains are connected to the sanitary sewer. I funher certify that the construction will not be used or oc ie unril a~wCCUpanCYhas been issued by rhe Depanment of Community Services. Cannel, Indiana. (/ r ~c e'AI1/~ei ~/Av@/ r2-if.,-OIu o Owner or Authorized Agent Print - Date OFFICEUSEONLY:********************************************~************************** Filing Fees: L... 7'1. 6 V INSPECTI~S REQUIRED: ') 6''', fGI # Charged Reo' I'i'i: ~ "_~ Base Inspections: ~ /. ~p~oot~ Lower ~ Under Slab 51- s-cJ Reviews - _, =-- Cert. of Occupancy: Rough ete Base Final Sitii' I J G I- dO P. R.I. F. : Additional Fees ./ TOTAL:--' 4#;;25"5'1.3 () !t'd) ()&!J6&}'1 . Fee"Recelved by: ,