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HomeMy WebLinkAbout06030146 Application , Permit #: For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of RECORD: PROPERTY OWNER: LOCATION & PROJECT INFO: SEWER UTILITY PROVIDER: NA?rL STREET ADDRESS /600 tJ. ( (". LD' PHONE t"3I7)fi7.3 -;J7/.;J. FAX C 317 ,y73- /zt;Z- ~/. t)/~r",;/ a /,' STREET ADC:R,ESS - . ~ I ieIICd7~JJ~:r3!jf4vc., SUBDIVISION NAME CITY 2,' ,r,fle STATE +- .-L- ZIP '16017 '. '~~RESS OF SON<;TRUCTIO~ . ..sr -~ . :'t50 .:a/r .1.31 __ --.5./ . ~JATER UTILITY PROVIDER: BEST METHOD OF CONTACT: I/~ PeN PM PHONE ('3rJ 57/- :u.slF FAX (' /- ..la.3 STATE ZIP y.~ 3 Z ~ SEmON ZONING: SQUARE FOOTAGE: ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (IF APPLICABLE): TYPE OF CONSTRUCTION: o SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units: o MULTI-FAMILY # of Units: o RESIDENTIAL (For Additions, Remodels, Etc.) TYPE OF IMPROVEMENT: o NEW STRUcrURE o ROOM ADDITION(S) o PORCH ADDITION(S) o REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o .-ATTACHED GARAGE (B" DEMOLITION PROJECT INFORMATION: Early Release Permit: Manufactured Trusses: _Y_N _Y_N Plumber's Indiana State License #: Which plumbing codes will be applied to the construction: o International Residential Code w/Indiana Amendments o Uniform Plumbing Code wI Indiana Amendments (Multi-Family Construction Code) FOUNDATION TYPE: (Check all that apply for the new construction area) o CRAWLSPACE 0 PO~ & B.EAM Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB _._ D BASEMEN;r\.... Does any part of the property lie within a special Flood designation area: (,-'-~'f~'~:;~.~' _:c.. Y'ALKout\ ('c.' Y_N For Single Family and Two Family dwellings, additions, remodels, and/or accessory structu\~'s,\hi~'r?err;;j'~is valid only if cons~illctiJri commences within 180 days of the date of issuance of the building permit, and must be completed (Cen'ific1.t~ of Occupan<;y i~u~f{ithiri\i8 rh~nths of the issuance date. Class I structure permits are subject to the General Administrative Rules of th~'~at~ lof In~~ (%e &7sltA"e'12) r~gk!~irig expiration . . time fram~s for beginning and co~pleting consth\cqo~.~.~____.j - \ 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 ~ate\5f.lndiarul,;~ the ~Zoning O~91..nance ~f Carmel Indiana - 199r (Z~289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and'alrActs amendatory thereto. I further certify that only kitchen, bath, and floor drains afe connected to the sanitary sewer. \1 furth_er^certifyth~t the construction will not be used or occupi until a CenHicare of Occupancy has been issued by the Department of Commurii~rvices, Carmel, Indiana. Pr,'nt 1) A-v ,d L- R.1t '7 Signature of 0 uthorized Agent '3 -<.,0- ~ Date OFFICEUSEONLY:************************************************************************ Filing Fees: Base Inspections: Upper Footing Rough In INSPECTIONS REQUIRED: Lower Footing Under Slab Meter Base Final Q Charged Re- Reviews Cert. of Occupancy: P.R.I.F.: Additional Fees .100(, Reviewed pproved: Dept. of Community Services S:PermitsjFormsjILP RESIDENTIAL