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HomeMy WebLinkAbout06080043 Application \ . City of Carmel/Clay Township Permit #: ~CIO 0 L{ 3 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures e. . c.. PHONE~~ 9 - \ '8'15 CITY STATE ., sib ~"\. ~Lfc;::, ~ \S. :c,u BUILDE"'S EMAIL ADDRESS (\ \0 '\ "\ \/'1 ~ BEST METHOD OF CONTACT: . I e\\-z.c..'oety.,-:, 'CIJ 0..", o-r\",\OV"'ll5 ,-,.,-i:::l~ e.VvL~1 BUILDER of RECORD: PROPERTY OWNER: NAME LOCATION &. PROJECT INFO: SEWER UTILITY PROVIDER: NAME OF lJTlUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): TY~F CONSTRUCTION: SINGLE FAMILY o TOWN HOME o 1WO FAMILY # of units: o MULTI-FAMILY # of Units: o RESIDENTIAL (For Additions, Remodels, Etc.) 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 PHO~4 d-I 8'7 S- FAX ~q d- ~(2 \5, STATE ZIP 'X'Jll, lj (P'd5\::) ZONING:~_ \ SQUARE \J --Z ~ ~ FOOTAGE: -\ ...)0 J ESTIMATED COST OF CONSTRUCTION: \~ S I r--.."'" (EXCLUDING LAND VALUE) \ I ,-,'-l'-.) ~,.j\\-z- S.:>t Q 0.. vi 0..:-\ \...... PLUMBING CONTRACTOR: W ~ \ \ '""'-~ <... ~\\J""'\o:V>cSl Plumber's Indiana State license #: ~\000D;;}'7 Which plumbing codes will be applied to the construction: &rI;rtemational Residential Code wi Indiana Amendments o Unifonn Plumbing Code w/lndiana Amendments ' (Multi-Family Construction Code) PROJECT INFORMATION: Early Release ./' Manufactured / Permit: Y V N Trusses: ~/, N . - - - 0 CRAWLSPACE LotSpht: _Y ~ Sump Pump: Y _N 0 SLAB Does any part of the property lie within a special Flood designation area: _y.:L"N FOUNDATION TYPE: (Check all that apply for the new construction area) o POST & BEAM ' o BASEMENT /": WALKOUT:_Y~N For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180 days ofthe date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months ofthe issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested by this application \.\ill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z~ 289) and 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 d or DeCU ied until a Bcat Occupancy has been Issued by the Department of Community ServIces, Carmel, IndIana \J()ll.Q" ."" -a\k.o I AN""''\-- 7 -Id..o(., pnnt"t:J 0-- Date OFFICE USE ONLY: *************~*~*** **, . Iii U J8Ct to compll"lflli!1 ~~all regulations INSPECTIONS REQUIRED: of State anifLocal Codes. ru.;:;er Foot~<!ower Foot~ DEPJ;_QF COr~lJt\~~~~VICES ~ ~ (3'rCARMff:Jer;t.Cilf..A~crI0WNSHIP ~3. s-o hIn r.B e Final Site __1~1~!:\ / . ,I ;] c; ~ {JO ~~?Y/f Reviewed/Approved: De S:PermitsjForms(ILP RESIDE "es. (Date) Fee Received by: ***************************** ;;;;).7. 30 ~ 77 )0 # Charged Re- Reviews Additional Fees 30