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HomeMy WebLinkAbout06050165 Application City ofCarmel/C/ay Township uM- Permit #D lpo!lD/fol) RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER of RECORD: NAME PHONE FAX ShOMonHlnshow STREET ADDt440 Allison Polnte Blvd. CITY STATE ZIP BUILi5};oneI~'b2941 Fox 317-842-3389 BEST METHOD OF CONTACT: PROPERTY OWNER: NAME PHONE FAX STREET ADDRESS CITY STATE ZIP LOCATION &. PROJECT INFO: SECTION ZONING: SEWER lJT1LITY PROVIDER: NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): (,D TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: ~ SINGLE FAMILY ~ NEW STRUCTURE o Tp'ym HOME 0 ROOM ADDITlON(S) o ;w>'(fp~L Y I' it'Uf i,,"o,~ 0 PORCH ADDITION(S) C H ~nitjT:~:::::;" 0 REMODEL 00/~iThFAl'!tlL-Y,/~ "!7n~ . ,. ~ N 'I Iv ACCESSORY BUILDING 'Jilf f Units: ~'> II .1;;7 ~ DETACHED GARAGE IDfJjTIAL (For ~ . W ditiollMbellloc;!els, Etc.) i ATTACHED GARAGE 0: /' " j DEMOUTION F RMA~6 fb nufactured FOUNDATION TYPE: (Check all that apply for the new X construction area) _Y .: usses: _Y _N 0 CRAWLSPACE 0 POST & BEAM Lot Split: ump Pump: ~ N 0 SLAB ))'k-BASEMENT y Does any part of the .'. ~(1)()~lli~b\ ignationarea: _Y --LN WALKOUT:_Y~N For Single Family a 'S~~~~~d~~fe'bf5e!p,dels. and/or, accessory structures, this permit is valid only if construction commences within 180 days of te Otw~ riJ-tQlila~g ~~\.l;~t be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Clas.~'I structure.R~o~~ld ifI~eHl. j \!!srative Rules of the State of Indiana (See 675 lAC 12) regarding expiration ) DEP"T Ul v . tipte'-.v't'N'tsldOW; ,':,' lhd, completing construction. I. the undersigned, a~Afc@~~l:olfsffuc[ion. enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested ~s'.'appucation will~~and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~ 2~9).aDd amendments, adopted under authority of I.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath; and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a C tificate of Occupa1Jcy has been issued by the Department of Community Services, Carmel, Indiana. . . L~II/}!J;/OIJ /I!Ju. WfJfA/ ~ {} -()U Sign ture of w er or uthorized gent Print Date ~ .~.o. / 0,. 0,. ber's Iniliana State License #: "4- @ ~ .0'''' /()~/J{)Oj-'7 ,~.> Which plumbing codes will be applied to the construction: 1.1)"6' ~ntemational Residential Code w/Indiana Amendments o Uniform Plumbing Code w/Indiana Amendments (Multi-Family Construction Code) OFFICEUSEONLY:************************************************************************ Filing Fees: ~a (20 INSPECTIONS QUIRED: . ~7 --- 0 ~ Base Inspections: = _:::> owe~ Footing nder Slab r--- ... Cert. of Occupancy: ,\_~ 50 Final -=--~ P.R.I.F.:. /;2 t/ dO Additional Fees ) -:-2.6-0b ~eeRece~ivedt:::<b/V:~ T~~# 02i/ J_ 00 Reviewed/Appro ed: Dept.ofCommunityServices (Date) ~~ S;Permits,lForms/IlP RESIDENTIAL # Charged Re- ReVIews c