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HomeMy WebLinkAbout06050219 Application C-N.. City of Carmel/ Clay Township Permit #: ()&D:t>;;z.\~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures SEWER UTI PROVIDER: \t)q f td~q' ND BUILDER of RECORD: PROPERTY OWNER: LOCATION &. PROJECT INFO: NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'$ (IF APPLICABLE): TY~:;; O~~~L:::~~ON:~ _ oyTYPE TOWN HOME C)~,.r 1WO FAMILY 0- 0 # of units: o MULTI-FAMILY 25 # of Units: 0 o RESIDENTIAL (For 0 Additions, Remodels, Etc.) 0 ~-t,~'4- ..0 Plumbe~~d~i'\State Lie ~ ~ _\D.P)~ '.J,>.'.> Which plumbing codes will be applied to the construction: ... ~,.::::--- 2 IntematiOnj I ~1~tei'fi4l~~~~~~ents 'f(- Uniform Plu",~l!J~ o(te wfINliani!.A~~e I 1)1 (Multi-Family a?S Ion Code) J~I PROJECT INFORMATION: ) I ~ FOUNDATIO E: ~ck-8111thab"BPIYf t new . Early Release Vl Manufactured construction ar L..sll:JM ) I' Permit: Y ~N Trusses: Y N - '~ - 0 CRAWLS ACE Lot Split: _ Y .:z:LN Sump Pump: Y _N ~ SLAB 0 BASE~~: I Does any part of the property lie within a special Flood designation area: Y N ^~ Y _ N NEW STRUCTURE ROOM ADDITION(S) PORCH ADDITION(S) REMODEL ACCESSORY BUILDING DETACHED GARAGE ATIACHED GARAGE DEMOLITION F IMPROVEMENT: For Single Family and Two Family dwellings. additions, remodelsLt~GtFssory structures, this permit is valid only if construction commences within 180 days of the dat"'~is~~k~ef1ll(iJ(j)NStrBw~l~M'c'bmpleted (Certificate of Occupancy issued) within 18 months of the issuance date. Class I structh\~~krK.l!.'bl.tf~t8cW~fI';tlr.bWtu'at.toGSve Rules of the State of Indiana (See 675 lAC 12) regarding expiration subject to corr\li\\\\l'!F~"les r e!!~\ng and completing construction. I, the undersigned, agree that any constot:&iB#:a:ci'JFlMrbtt~ ,e l~h5ion, or alteration of a structure, or any change in the use of land or structures requested by this aPPl~ilfl O\9=~MM-UM11cr;'t{fomw~.YI1 lCable la\'iS of the State of ~ndiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z- 289) and a~ehts, ~Op~l ~r t~~fFgW ~cneral Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify tha~tGm, bAthtl 'li&rd~ns arc connected to the samtary sewer. I further certify that the construction will not be use cupied until a Cert jcat~o[OC<cup'ancxOOlAAl&ed ~y c;~me~si rmel. IndianO h~t-..( (cx.o Signature of Owner or Authorized Agent Print Date OFFICEUSEONLY:*************************************************~*****ii*************** Filing Fees: (~~C!. .CJ U INSPECTIONS REQUIRED: . n M 7 .riD ......ri_~__ ~,-",' Base Inspections: ~. f . v l c-t'pper Footm~wer Footing~u 5 '? ;CO ~...-""- _..::-? Cert. of Occupancy: ..::::::. . ..::) ~ugh n Meter~inal ~ . O() _ ~----.:.. P.R.I.F.: ~~<3?- 0 -6 ;.?.;< 2A # Chatged Re- ReViews Add;bonal Fees c b-l -- (, Reviewed/Appr ed: Dept. of Community Services (Date) S;Permits/Forms!ILP RESIDENTIAL