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HomeMy WebLinkAbout06040039 Application - t::-Al . J J Q() City of Carmel/Clay Township Permit #Ob7,()()<./ I RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER of RECORD: NAME PROPERTY OWNER: NAME STREET ADDRESS LOCATION &. PROJECT INFO: LOT # SEWER UTILITY fl. -/} i . 1D PROVIDER: vi ~.A!V FAX ~j(tr!/J-d( tf& ~ C/t ~ ZIP c/ ZONING: va SQUARE ;1. ~ 19 OOTAGE: . ESTIMATEO COST OF CONSTRUCTION: 13 C\/ rr./'I (EXCLUDING LAND VALUE) U LLCJ Itl S DC *!rx:ofo03" NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): TYPE OF CONSTRUCTION: A SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units: o MULTI.FAMILY # of Units: o RESIDENTIAL (For Additions, Remodels, Etc.) PROJECT INFORMATION: Early Release Permit: yXN yX"N' Lot Split: Does any part of the ro e , TYPE OF IMPROVEMENT: %NEW STRUCTURE o ROOM ADDITION(S) o PORCH ADDITION(S) o REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLITION PLUMBING CONTRACTOR: EdiJej h~q:f Plumber's Indiana State Lice se #: !Ors-qiJt:J ~iC~IUmbing codes will be "Plied to the construction: ~nternational Residential Code w/lndiana Amendments o Uniform Plumbing Code wI Indiana Amendments (Multi-Family Construction Code) FOUNDATION TYPE: Manufactured \/ construction area) Trusses: 4- Y N V P CRAWLSPACE Sump Pump: _ Y 4-N ~ SLAB lie within a special Flood designation area: _y.x N (Check all that apply for the new o POST & BEAM o BASEMENT WALKOUT:_Y_N For Single Family andl1}w,gcmYdb'ffiumg~A~diH!eel~'.i~n or accessory structures, this permit is valid only if construction commences within 180 days of tiJ'e Cl:h.le hr~l}~nce!"m'iTl~"bttiral i ,Wi completed (Certificate of Occupancy issued) within 18 months of the issuance clate. Class I structure Tlh~tf~t.ReC!GGje~ asl Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration DEPT OF COMMitjNt~SZIees:tcomplet;ngconstruction. I, the undersigned, ~'r'ittc~,?pe!Nfe(eci'l}iol;iU~qqn IPf8tJ_!jl~ation, or alteration of a structure, or any change in the use of land or structures rcquested'1'5'1 tbi~ aPlSficabHi'i'WID"b~miplf ~~ c fN,~l5ficable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana - 199r (Z~ 289) and amendments, a~A-NAuthoriry of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify t t only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or cupied until a ni!icate Occupancy has been Issued by the Department of CommunIty ServIces, Carmel, IndIana. , \(D(\ ir~ (~y((( Print ~ Date NLY: ***********************************************~*~~******************* INSPECTIONS REQUIRED: Filing Fees: i' /7--:-1(1 c ~ Base Inspections: ~ :;21 :) (J ~p..r r"ot;::;Y' Lower Footing CU...R.. ...Id~~ ~' /;\ - - _" Cert. of Occupancy: $ -:; "5 u CROUghJD-~r Basy'Final Site --', . -....:..:::: ____ P.R.I.F.: # Charged Re- Reviews Additional Fees . Cv~l g I1J$.D..r <f-It-06 Reviewed/Appro ed: Dept. of Community Services (Date) S;PermitsfFormslILP RESIDENTIAL