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HomeMy WebLinkAbout06070137 Application City of Carmel/Clay Township Permit#: rJfo07o/3.7 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of RECORD: PROPERTY OWNER: NAME STREET ADDRESS STATE IAI. }(J-338q I;;A1s-o BEST METHOD OF CONTACT: o FOR CONSTRUCTION PSt!fijecl to compH"o<:o wl!h " egu of Str.J't:' :ar;d tncal Godes 1'-':>:;':",' crrDEPT OF C ., ,'M'c' ~ ~ lIP ;,. CITY OF CARMEL I CLAY TOW."dhW LOCATION & PROJECT INFO: SE ; / (J;umd II\! ClUtJYUL Manufactured X FOUNDATION TYPE: (Check all that apply for the new ...1 construction area) _ Y ~N Trusses: Y N - V 0 CRAWLSPACE Lot Split: _ Y IN Sump Pump: _ Y b-N 9Zl SLAB Does any part of the property lie within a special Flood designation area: _ Y X-N lOT # J., - SEWER lJTlLm 17,~ J ~~, II PROVIDER: CfLJtj I UA- WATER UTILITY PROVIDER: NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): TYPE OF CONSTRUCTION: o SINGLE FAMILY Oif TOWN HOME 1;' ~ : .L, D TWO FAMILY UI J.A.-.Uh # of lJnits: o MULTI-FAMILY # of Units; o RESIDENTIAL (For Additions, Remodels, Etc.) PROJECT INFORMATION: TYPE OF IMPROVEMENT: '(;&. NEW STRUCTURE tJ ROOM ADDITION(S) o PORCH ADDITION(S) o REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLITION Early Release Permit: ZONING: Yidk c2aIP4 (3) ftlfflLJ{}!1/ {), PLUMBING CONTRACTOR: ftJf.~A1~ Plu ~~<;.\"s I diana State LIcense #: /o:;,OOD57 Which plumbing codes will be applied to the construction: Cil International Residential Code wI Indiana Amendments o Uniform Plumbing Code w/lndiana Amendments (Multi-Family Construction Code) 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 commences within 180 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 or 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 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 r occupied until a er j/1cate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. , . SIIAAl!JOIJ !lmtfl/J/!J 1-;{j-Ou Sign ture of ner or Authoriz Print Date OFFICEUSEONLY:**********************************************~~********************** Filing Fees: Cd':S--, '7f:) mONS REQUIRE~D' .~) 12- )//J Base Inspections: -, _ _ v er Footing Lower Footing nder Sla "3. '-:1/ Cert. of OcclJpancy: J J L. CROU9~ ~~al S~ P.R.I.F.: 5' ^ 1.00 Additional Fees ~.;;~--! /:1?310 Fee Received by: - it -Ot (Date) # Charged Re- Reviews