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HomeMy WebLinkAbout06100088 Application i, i City of Carmel/Clay Township ,"'~"" Please call 695-7630 for Permit #: 1')&1 0 6D~ RESIDENTIAL IMPROVE~ioc'(Tf~tERMIT APPLICATION For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER OF RECORD: NAME: b PROPERTY OWNER: LOCATION &. PROJECT INFO: PHONE: CITY: STATE: IN ZIP: I BEST METHOO OF CONTACT: FAX: STATE: I ZIP: .., 7f ZONING: SQUARE FOOTAGE: , a..! SEWER lJT1LITY PROVIDERC NAME OF lJTI EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET 'J NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: TYPE IJF CONSTRUCTION: rYf SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units being constructed at this time: o RESIDENTIAL (For Additions. Remodels. Etc.) PROJECT INFORMATION: _y~ __v IN Early Release Permit: Lot Split: TYPE OF IMPROVEMENT: ~ NEW STRUCTURE o ROOM ADDITION(S) o PORCH ADDmON(S) o DECK ADDmON(S) o REMODEL _ Basement Finish only o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLmON Manufactured Trusses: Sump pump: ~_N -.Ly _N TAX MAP PARCEL #: PLUMBING CONTRACTOR: ~ f. SM'lTIl Plumber's Indiana State License #: 101'177 Whi~umbing codes will be applied to the construction: ~ International Residential Code wI Indiana Amendments o Uniform Plumbing Code wI Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) o CRAWLSPA<;Y 0 POST & BEAM PIER o SLAB rY5 BASEMENT (WALKOUT:_Y A) For Single Family and TWO._ I~, ~flp1pl1rem~cM~ffl<fry structures, this permit is valid only if construction commences within 180 days of the date of issuanli!,qfJ e 1.V. dmg.e..e,!!P.iJ, ana fil'~~'Belcoh\Pld:ed ,~~:i'tificate of Occupancy issued) within 18 months of the issuance da~e. Class I structure permits are subje"r!'t'1:~ P ;e<j\&MIAli:fflii\B~tWet:rouft.!.l6~eJStiatEl6t:Jndiana (See 675 lAC 12) regarding expiration time frames for begmning and of State and Local Coci:ell'pleting construction. I, the undersigned, agree th~~ism"~~9rnJilPfR.fP~~fDlCf\t1F~p;:if>n, or alteration of a structure, or any change in the use of land or structures requested by this appllcati~"'WIlI comPlY {."itlr,' ~tldl~~fmm t6, lal! apptteabf'e lk~he State of Indiana, and the "Zoning Ordinance of Cannel Indiana - 1993" (Z' 2~9) and amendments, ad~~JdhcGJrutQWJ.W1Q~1~.t16f7@~eA.:'Y5eifqf1~N~rphe State of lndi~na, a~d all Acts amendatory t~ereto. ! further ,certify that only kitchen, bath, and floor drams are connected to thM,\l4flW KT~r\1 fUrther certify tHat the constructlon WlIl not be used or occupIed untd a Certificate of o cupancy has been issued by the Department bf'tYhh\blMt)! Services, Cannel, Indiana. . .' -' LOR" A. e;,Rh':.ONG- HE:MI;"lI: 101 IIID~) Signature of Owner or Authorized A Print Date OFFICEUSEONLY:********************************************************************************* INSPECTIONS REQUIRED: Filing Fees: / orfl. r2~ F' t' Base Inspections: "OJ/ -1'1. ,5 () ower 00 In Under Slab S 0 =stte) Cert, of Occupancy: 3 .J_ / P.R.I.F,: /J U 00 \ O-\l-~ ~.. . J9lAL: ~ I;)G~~:;~I_ "fJ Dept. of Community Services (Date) ~~ -.fl1 ~ __ _ _ u~ S;J'ermits/FormsjILP RESIDENTIAL Fee Receive by, Date ~ # Charged Re- Reviews Addibonal Fees