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HomeMy WebLinkAbout06030133 Application City of Carmel/ Clay Township ~permit #01.00 3D~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of RECORD: PROPERTY OWNER: LOCATION & PROJECT INFO: .e.- ON -a:5 Or C~f WATER UTIjd'iY) ROVIDER~ (j e () NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): TYPE OF CONSTRUCTION: ~GLE FAMILY 15' TOWN HOME o TWO FAMILY # of units: o MULTI-FAMILY # of Units: o RESIDENTIAL (For Additions, Remodels, Etc.) TYPE OF IMPROVEMENT: O>r-m:w STRUCTURE C( ROOM ADDmON(S) o PORCH ADDmON(S) o REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARA(."- o DEMOLmON FAX <5 76 -;),3/4- 0{ -~' ;'4~.1 :..=.::::. i 'I~i "- -I III MARA~ 0 2006 ZIfl' II! IJ! "'/ I o.J ,/ SQUARE 5 FOOTAGE:67o 138 if 0 to 030/3;)- PL'fhNG CONTRACTOR: _ 1'?1 /11 rr ~.s -f-.rJc... Plumber's Indiana State License #: C P I 60cX:> / 1'5 ! Which plumbing codes will be applied to the consb"uction: ~ I..h:.mational Residential Code w/Indiana Amendments o Unifonn Plumbing Code wI Indiana Amendments (Multi-Family Construction Code) PROJECT INFORMATION: Early Release ~ Manufactured fOUNDATION TYPE: (Check all that apply for the new Permit: _Y -----'J!/ Trusses: --0--N construction area) <fi)1~~\YllS a . C"\ ~ 0 CRAWLSPACE 0 POST & BEAI'<la.-...,J... ., 'v:L::-U. Lot Split: _Y ~ Sump Pump: ~N 0 SLAB ~ BASEMENT ~FI'~, 10'-(' '1 Does any part of the property lie within a special Flood designation area: _ Y ~ WALKOUT:_ Y N For Single Family ~d_~w~ Family dwellin~s, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180 days oHherd4ti\:lf:~an~(1;)@.~]i'~~4:fuNt be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class IJ~~~ur:e nel'lUits aJ;F..&ubject-t.o the ~eral.iPministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration ..... Vj-.JU\ t'~:"'~'~l' ifJ~i....\ h..-t'tni1~Ift.kMb~ faF~firf~gind completing construction. I, the undersigned, a,8!ee that any cci:r;sti-Uctio~ rkoiiSdu8ioS:wargement, relocation, or alteranon of a structure, or any change ill the use of land or structures requestedbwausrpP.ucan@@PJIJ:f~*,!Y'llWhtarrd~~rw ta:.~~ applicable laws of the State of Indiana, and the "Zorung Ordinance of Carmel Indiana - 1993" (zn~Sj)'f.'d ~"J!!:>Pte I'llM; '~"tliFdn\ Drs.t~1r7....t seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further ~ th~(dnlYi<ft'ch1l:Y,~&, M1to()}. !raib~~lf'1o the sanitary sewer I funher certify that the construction will not be sed or cupled until a Ci te of~ been isSU~d b the Department of Community Services, Carm<;I, Indiana. / - _nI<2f' StetJ /r:1'1 (Jute' ,=<'1-1- 7/60 re of OWner or Authorized Agent P . Date I OFFICE USE ONLY: **************************'~*******************Cjfr**)**************** FIling Fees: . c; () INSPECTIONS REQUIRED: . . Base Inspections:.) 'L75U # Charged Re- (Upper Footi~er ~) Under Slab S I rA Reviews Cert, of Occupancy: . :; U cKOllgh'~eter~ c:~ P,R,LF.: .1;< G/ (j() ~~L:\af1:;)~ Sd Fe&-Recelved by: ~ ~. -2 ~' Reviewed/Appro ed: Dept. of Community Services (Date) l S',,"""It>/"'''''''ILP RfSIOEtmAL Additional Fees