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HomeMy WebLinkAbout06070132 Application City of Carmel/Clay Township Permit #: ore 070 13~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of RECORD: PROPERTY OWNER: LOCATION & PROJECT INFO: SEWER UTILITY () /l. I __ _ _ J PROVIDER: l)1)(J r ll.L NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): o NEW STRUCTURE ROOM ADDITION(S) ,ORCH ADDITION(S) EMODEL A ESSORY BUILDING o ACHED GARAGE ""'ATTACHED GARAGE o DEMOLITION o 94 / 84 , ZONING: SQUARE' I) rI j ;;- FOOTAGE: C1 / '7 'l.J PLUMBING CONTRACTOR: C/lr LffhI)/t.L Plu~ber's'I~6ia;;a State License #: /DJ.,[){J{)S7' ~ Which plumbing codes will be applied to the construction: ~ International Residential Code wI Indiana Amendments o Uniform Plumbing Code w/Indiana Amendments (Multi-Family Construction Code) FOUNDATION TYPE: (Check all that apply for the new construction area) Manufactured X _Y _N Trusses: _Y_N X 0 CRAWLSPACE Lot Split: _ Y LN Sump Pump: _ Y _N ~ SLAB Does any part of the property lie within a special Flood designation area: _ Y LN o o POST & BEAM BASEMENT WALKOUT:_Y_N For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction com!llences within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months 'of the 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 pr structures requested by this application will 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 LC 36-7 et seq, General Assembly of (he 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 C;ertjficate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. , ll/IIJA/JotJ I-IVJSi-JIJ/Ai 1-;q -{)U; OFFICE USE ONLY: ** ******************* *****.~********* **** ****** *'**f***~*f************** Filing Fees: 010.5, ) C INSPECTIONS REQUIRE . .' "I /1'1, )~ () Base Inspections: :z / /. Cert, of Occupancy: S.5 )-0 P,R,LF,: 5" ;).. 7. 00 V~~ ,$/;,;J!)() Print Site (Date) Fee Received by: Date # Charged Re- Reviews Additional Fees [.4