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HomeMy WebLinkAbout06050001 Application City of Carmel/Clay Township (/.~ Permit #01005000 \ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures PROPERTY OWNER: NA FAX BUILDER of RECORD:~ ~fo.I\'~ . STATE ZIP FAX STATE ZIP 7'h"J). LOCATION & PROJECT INFO: SEWER UTILITY WATER UTILITY PROVIDER: 5. I ( /'\ PROVIDER: NAME OF UTILITY EXCAVATIOt!.' . CTOO;" PLAN COMMISSION / BZA! BPW DOCKET NUMBERS; TAC DATE(S); ~I'i~ %U W: AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): ~ \ /.... \ TYPE F ON . : . PE OF IMPROVEMENT' o /SI.~GLr~~t.fr(y I:l~\ 06J NEW STRUCTURE ' ~~TQWN'HOME \ 't(j ~\ ROOM ADDITION(S) \'. FAMIL~ .. D) PORCH ADDITION(S) .\qf\uni1'$.~ .... /'0 REMODEL o \,U,t.'f!';FAMILY / 0 ACCESSORY BUILDING It,<?f'~. Its: 0 DETACHED GARAGE C1i( RESIDEN AL(Fo 0 ATTACHED GARAGE Addlt!ons, R els, Ete.) 0 DEMOLITION \ ' PROJECT INFORMATION: ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) PLUMBING CONTRACTOR: Plumber's Indiana State License #: Which plumbing codes will be applied to the construction: o International Residential Code wI Indiana Amendments o Uniform Plumbing Code w/Indiana Amendments (Multi-Family Construction Code) Early Release Permit: _Y~N _Y~N Manufactured Trusses: ~Y_N >< Y _N FOUNDATION TYPE: (Check all that apply for the new construction area) [g CRAWLSPACE [51( SLAB nation area: _ Y ...2(..N o POST & BEAM o BASEMENT WALKOUT:_Y ~N For Single Family and wl2J ami ~1Itp.ge,~tWRhmP1~~a~~saccessory structures, this permit is valid only if construction commences within 180 days orch l~~Pfs a e ofihe I cfi"n 1a~sand must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I structure p~ ~ . :tq91~eneral Ad)J.l~Bt~ative Rules of the State of Indiana (See 675 lAC 12) regarding expiration ~PT OF COM~~t&lEij}'(1~~completingconstruction. I, the undersigned, agr ~. co c', W t-p:ution, or alteration of a structure, or any change in the use of land or structures requested byt: , a p~!8t t~Imrm ~pplicable laws of the State of Indiana, and the UZoning Ordinance of Carmel Indiana -1993" (Z- 289) and amendments, ado" lAblAthority of l.c. 36~7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and Ooor drains are connected to the sanitary sewer. I further certify that the construction will not be used or pi d nntil ':- Certifjc;re of Occupancy has been issue the Department ~~:mmunitY Services, Carmel, Indiana. ~,,6 t? o e OFFICE USE ONLY: ************* P.R.I.F.: Additional Fees TOTAL: ,g -j/7//0 Fe~~~ 1}. iJi!~tVI~L 5/"1", f}~ CIJ'