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HomeMy WebLinkAbout06070191 Application City of Carmel/Clay Township Permit #: Oluo1!J 1t11 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER of RECORD: NAME PHONE PROPERTY OWNER: e STATE ZIP STREET ADDRESS v<:.J'-..f+. or VI. n BEST METHOD OF CONTACT: .s; , 6'n<[( NAME 8 FAX 2 -'r-:;)iPj' ZIP c{6z$"Z) ZONING: 5-/ LOCATION &. PROJECT INFO: STREET ADDRESS Ce0le~ LOT # l/~ STATE e: PI. d ( D- C-f; SEWER UTILITY OleO'l 01 q-o ESTIMATED COST OF CONSTRumON: PROVIDER: e (EXCLUDING LAND v1'lU!L.._ _3 90/ () 0 <7 NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET J i ! f\ \ U~. (r-;: rs; In ~\ ,--,'7 -rt;;-''::~~:'', ] NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): VJ 1/5 (J ~ IJ!!.I ,I) I -"-'::::~:J ~ J .f~ :';::';J, {!1 '\ i TY~F CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTlikdrbR: J 11/' Ji}1 SINGLE FAMILY ~ NEW STRUCTURE ~"(6 6.l4~JL c.f:JW~ 3 1 2006 .1 i I is ~~NF~~I~~ 0 ROOM ADDITION(S) Plumbe~~ Indiana ~~e~License.1t: -.J U:::J I # of units: 00 PORCH ADDITION(S) " /0 b lJi-.o ,0 - . I REMODEL _} o MULTI-FAMILY 0 ACCESSORY BUILDING W~iCh umbing codes w;U be applied to th;,C:onsffifctIon:_ # of Units: O 0 DETACHED GARAGE ntemational Residential Code wI Indiana Amendments RESIDENTIAL (For 0 ATTACHED GARAGE Additions, Remodels, Etc.) 0 DEMOLITION SUBDIVISION NAME sEmON ) SQUARE FOOTAGE: G6tl o Uniform Plumbing Code w/Indiana Amendments (Multi-Family Construction Code) PROJECT INFORMATION: Early Release ~ Manufactured ./ permit:. _ Y :::"Dl Trusses: v'Y N /.. ~ 0 CRAWLSPACE Lot Split: _ Y _N Sump Pump: Y =N 0 SLAB Does any part of the property lie within a special Flood designation area: _Y_N FOUNDATION TYPE: (Check all that apply for the new construction area) o Pg>f & BEAM ~ASEMENT WALKOUT:_Y~ For Single Family and Two Family dwellings, additions, remodels. and/or accessory structures, this permit is valid only if construction commences within 180 daysFf~~'!i~iM~f~tYJ4ipg,pll~ ~d must be completed (Certificate of Occupancy issued) within 18 months of the issuance clate. CI~lb~fti~~~i~[re'M1bJ~~~~JW.N.ministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration U j6CttO corppllance ~ mllireglJtchipnsing and completing construction. 1, the undersigned, agree thaof~tatetMd~EO~~, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requesEfle pir. ~~E~Yr\JtJ".tl?-~~CW.'qIj1D,.tr, all applicable laws of the Stare of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (~ ana amend'n1e,{I" JndeH.6tfi!,M~f:I.~. 36~7 er seq, General Assembly of the State of Indiana, and all Acts amendatory th~reto. I furthe i thlF01(i;ft.EaMiCbt ~OOWftORH:fIP.ted to the sanitary sewer. I further certify thar the construction will not be used or occupied until a G nilkate 0 fl.J'Ahas been issuedby 'tb~ Department of Cnmmunity Services. Carmel, Indiana. ~ ~ (' t~1 --:{kV<1sLJr -;7, 31 6 b Signature of Ow r or uthorized Agent Print I Date OFFICEUSEONLY:******************************************************~,~*************** . Filing Fees: / (} 3 !" w \'_ INSPECTIONS REQUIRED: ' -, 7 7. ,:-0 # Charged Re- - Base Inspections: ~ _ _ J .,.uope,rr F Foooottiinnag --, _ Under Slab ,Reviews \~ Cert.ofOccupancy:.) ]. TO \R~U9~ Final I ,}.. {-, l ()() 63 <(.1-0 Additional Fees '~ppro d: Dept. of Community Services 'S/llP R SIDENTIAl \ (Date) , -'7--06