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HomeMy WebLinkAbout06080006 Application City of Carmell Clay Township Permit #: 0" 0 ~ n000 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 lJTILITY PROVIOER: Q,IJ'<-? NAME ~bE.9 PHONE ~" ~'S'O ~()l.:. CITY ~ >-". Q,...,~,...,. STREET ADDRESS STATE \ o BEST METHOD OF CONTACT: PHONE NAME ~~\\O E~ Q STATE \.). lOT # c;,~ SUBDIVISION NAME '2,.. ) SECTION ADDRESS OF CONSTRUCTION S. tI - WATER UTILITY PROVIDER: ~ TYPE,OF CONSTRUCTION: r;1 SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units: o MULTI-FAMILY / # of Units: IA'l RESIDENTIAL (For Additions, Remodels, Etc.) TYPE OF IMPROVEMENT: o NEW STRUCTURE o ROOM ADDITION(S) ~ PORCH ADDITION(S) lJ!:l REMODEL o ACCESSORY BUILDING o DETACHED GARAGE o ATIACHED GARAGE o DEMOLITION ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) r;::--- ll~ ~ \\U c= II PLUMBING CONTRACTOR ) I q~ ~\...Vl"'" b I U U Plumber's Indiana State Li nse #: ~ OOe.OD~~~ L NAME OF lJTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE): FAX FAX ZI? iV-eo .~ ZONING: , '2,- SQUARE FOOTAGE: \ \loo . "l Be:> ~~ F\\ I AUG _ , 1 CO l~ Which plumbing codes will be applied to the construction: o .;ntemational Residential Code wI Indiana Amendments rsI Uniform Plumbing Code wI Indiana Amendments (Multi-Family Construction Code) PROJECT INFORMATION: Early Release Permit: FOUNDATION TYPE: (Check all that apply for the new construction area) / Manufactured / Y N Trusses: Y . N - I 7 - 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 ~ 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 perm it, and must be completed ~e rtiticate of Occupancy issued) within 18 months of the issuance date. Class I structure permits are s~. ct Ii. I i2i~~A ~ the Stat~ of Indiana (See 675 lAC 12) regarding expiration 1 ; ra '..'. ID~e~&.c structlon. I, the undersigned, agree tha.t any construction, ' ' . ., re cat~o:2;'r alt~ation 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 r.c. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory the to. I further certify that only kitchen, bath, and Door drains are connected to the sanitary sewer. I further certify that the construction will not be use lor occupied until a ertificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. "'""'iE.....h-< S ~""&.'h\ <;. Print OFFICEUSEONLY:**********************************************i~~***~ff*************** Filing Fees: ~ .5, .) . INSPECTIONS REQUIRED: 'I. 1-/, O' 0 Base Inspections: _ Upper Footing Lower Footing Under Slab 3 .r ~I ~ Cert. of Occupancy: J . <aJ {/ Ro~gh In Meter Base ~~ Site P.R.I.F.: . ~;2J'PO~ Fee Received by: , ~ ReviewedjAppr ved: Dept. of Community Services S:PermitsjFormsjILP RESIDENTIAL 8-\ - <::>4- Oate # Charged Re- Reviews Additional Fees