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HomeMy WebLinkAbout06040085 Application r~ VINL-- - Permit #: ()Cool-f 0 V55 City of Carmel/Clay Township RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures Manufactured FOUNDATION TYPE: (Check all that apply for the new v' V' construction area) _ Y ~N Trusses: .L- Y _N V 0 CRAWLSPACE 0 POST & BEAM Lot Split: _Y LN Sump Pump: ~Y _N 0 SLAB . ~. BASEMENT ._""" Does any part of the property lie within a special Flood designation area: _ Y cX-N:-:-;--;:" -WALKOUT.;;-; ;:':' l::~ N For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, thiJ Wrqit'is~x.~iid,only.if c~ns~riiiii~n,t~rririi~nces within 180 days of the date of issuance of the building permit, and must be completed (Certificatc\qf qqcU-pancy issued) within IS mm1$s\ci~ the issuance date. Class I structure permits arc subject to the General Administrative Rules of the State of I,., ridi~na (See 675 lA' md~rdirig\exP.iration . . time fram~s for beginning and completing con~tructioh\ 1\\\ tARR ,1 I'. tl \,\ \. J) \ I, the undersigned, agree that any construcnon, reconstrucnon, enlargement, relocation, or alteranon of a J.rruc~te, or any change In the use o~Jiirid.or\\ structures requested by this application \viU comply with, and conform to, all applicable laws of the State of !.bdi~a, and t~DcdinaIi~of Canpel Indiana -199r (Z~289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly Of!' e St-;~~'of'lndiana, and all Acts amend~~~f1j thereto. I further certify that only kitchen, bath, and floor drains are connected (0 the sanitary sewer. I furt er certify that the ~r,UCtion.wilFnot oe used cupied umil a Certificate of ccupancy has been issued by tbe Depa,':;f;, of Community S !y'ice.>rGarmrl;1naiana. . I I r L/-s4 Signat re of OWner r Aut orized Agent BUILDER of RECORD: ./IN'! PROPERTY OWNER: STREET ADDRESS SEWER UTILITY PROVIDER: LOCATION &. PROJECT INFO: LOT # I Cirr:)~ Ccw+ () NAME OF UTIUTY EXCAV TlON CONTRACTOR; PlAN COMMISSION / BZA / PW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTI WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABlE): TYPE OF CONSTRUcnON: 00 SINGLE FAMILY b TOWN HOME o TWO FAMILY # of units: o MULTI-FAMILY # of Units: o RESIDENTIAL (For Additions, Remodels, Etc.) TYPE OF IMPROVEMENT: ~ NEW STRUCTURE o ROOM ADDmON(S) o PORCH ADDmON(S) o REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLmON PROJECT INFORMATION: Early Release Permit: Print 58:J-C)'-!S3 ZIP oJ ex STATE TN PHONE FAX CITY STATE ZIP SECTION i ZONINGS - J SQUARE ~ ) aq FOOTAGE: ...J 0( / / ESTIMATED COST OF CONSTRUCTION: -"1? ., (EXCLUDING LAND VALUE) 0( oJ 0( O()() fY/,e ~~;jf- PLUMBING CONTRACTOR:. . ) J..}) /Y/Pc!x::vn,('c< Plumber's Indiana State License #: Pc. A/OG 9590 Which plumbing codes will be applied to the construction: 185 International Residential Code w/Indiana Amendments o Uniform Plumbing Code w/Indiana Amendments (MUlti-Family Construction Code) Date ***************************** FiIi n9 Fees: to of State ai\<!Ra~al Codes. DEPT OF COMMUNITYSE. CITY.OF CARMEL I CLAY TO I INSPECTIONS REQUIRED: ~Footi~ l(Q\iier Footi~ U 0ugh in) Reviewed/ Appr S:Permits/FormsjILP (Date) Fee Received by: # Charged Re. Reviews