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HomeMy WebLinkAbout06020131 Application City ofCarmel/C/ay Township c!.U-- Permit #:tJ(Q 0 l,O/3 J RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of RECORD: FAX 75 QBI PROPERTY OWNER: LOCATION & PROJECT INFO: NAME OF tmUTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): TYPE OF IMPROVEMENT: ~EW STRUCTURE o ROOM ADDmON(S) o PORCH ADDmON(S) o REMODEL o ACCESSORY BUILD'.'" o DETACHED GAP o ATTACHED GP o DEMOLmON tI 1J:BING C~~RACTO~ vnr11 rT nS ..Lnc:... Plumber's Indiana State License #: CP /60:::'.>(') /0 / TYPE OF CONSTRUCTION: Q-SINGLE FAMILY 't:J TOWN HOM E o TWO FAMILY # of units: o MULTI-FAMILY # of Units: o RESIDENTIAL (For Additions, Remodels, Etc.) PROJECT INFORMATION: FOUNDATION TYPE: EarlY.Release /-::.... Manufactured ~ construction area) Permit: Y ~ Trusses: Y l N - ) 0 CRAWLSPACE Lot Split: _Y ---1t! Sump Pump: N 0 SLAB Does any part of the property lie within a special Flood designation area: _ Y ~ Which plumbing codes will be applied to the construction: OIntemational Residential Code w/lndiana Amendments o Unifonn Plumbing Code w/lndiana Amendments (Multi-Family Construction Code) (Check all tihat apply for the new fijI/ ~lnlohec) o POST & BEAM. I / ,.,a~h ,\ ~ BASEMENT WI Fo.< , , . cfJv ~. WALKOLrr:_Y~N R\!' ,...-- -- - -- .._- For Single Family and Two Family dwellings, additions, remodels:,:andJor,acc:essory~strUcmres. ~s permit is valid only if construction commences . within 180 d~yslo~,t.~~~. '{f ~@F~o{:~:l~~l~fl~!~tp!@44~ Ihp'~~:be ~~!!fp}~tt~JC~tlif!~~'1cif,d~'~ppancy issued) within 18 m~nths o~ th~ ISsuance date.~ ~~:Ie.stru .cture .,. p,.: ~~._ ~rt: ~~?J. ~.' tioj~~, PF~,~~,r '~~ lstrative R~es 0 fth. e Stat~ ~f. I nc;lt ~a (See 675 lAC 12) regardmg expIratIOn :~i ')~i;"f:t !,~ ,:.;~::.,;-:';L,(b.~ ~~~) 'h[1tlme!frattJ.~lfor 1 and completmg constructIOn. I I d .......--'J.... .. ", _ I ll' 'I I, the undersigned, agree ,~t3ll).!. '..~9. .~.~~qOen;'I:eCo. rl~.' ' roan, ~.em I t, rel~Rn, ~ altery.~fW; of a ~ttu.: cryfe, or any c~ange. in the ~se of land or s~ctures requ~t~4.~Y.~ tl'l1liCa~~,p.:~~1~.rP~1~lWl-0;':~~.f,.., ioo . 01 ~ applleabie liw~of tlie'State qf ~~apa, and 0e Zomng Ordinance of Carmel Indiana -1993"l(~,:289) and amendriients;'adopt_ed unatt.'!1!tllqI'l'I*Q , ' 6--7 et seq, General Assembly ofldie:State of Indiana, and all Acts amendatory thereto. I fueprcyrq!}Hhar9,JiJ-y.w.f~Keb, patb':"W1'U\tl~M1iri!O'l, ec~ed-rnthe'sanitarysewer.-I'further certify that the construction will not be u r occupied until a Certificatt:< R{ R4'~f~Y has been issued by the Department of Community Services, Carmel, Indiana. , I. . ,- I, . . _.______.____1 . J. IiJ 1:.<. ~~<f, ~ OFFICEUSEONLY:********************************************~T~~**t******************** Filing Fees: L.;2? 7t? INSPECTIONS RE UIRED: .] / -'7 Sd # Charged Re- Base Inspections: ..4.. "" 0:-/. :)c) Reviews Cert. of Occupancy: ~ per Footing ower Footing nder Slab ~eter~ ~ C",a-:,^ HI~ c.'?'t-of; RevieWed/App~bvet-~ept. of Ccmmunity Services (Date) S:PermIts/FormS/ILP RESIDENTIAL P.R.I.F.: IJ t, Additional Fees pi 5" '3~/O Fee Receivetfbv: