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HomeMy WebLinkAbout06110116 Application City of Carmel/ Clay Township Permit #~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures BUILDER OF RECORD: PROPERTY OWNER: LOCATION &. PROJECT INFO: SEWER UTILITY PROVIDER: NAME: NAME: STREET ADDRESS: LOT#: q S SUBDIVISION NAME: gC(6 -tJ;)~t/ !:1J FAX: STATE: ZIP: SECTION: ZONING: ADDRESS OF CONSTRUCTION: '3 1\ -r () l . '\ WATER unUTY G \ 10VV D PROVIDER: <. u 10JI1/LfJ/'t-I U1XrM! FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY; TYPE OF CONSTRUCTION: '17{ SINGLE FAMILY /2) TOWN HOME o TWO FAMILY # of 'units being constructed at this time: o RESIOENTIAL (For Additions. Remodels. Etc.1 Early Release Permit: PROJECT INFORMATION: y~ yV;;- TYPE OF IMPROVEMENT: XNEW STRUCTURE o ROOM ADDITION(S) o PORCH ADDmON(S) o DECK AODmON(S) o REMOOEL _ Basement Finish only o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLmON Manufactured Trusses: Sump Pump: v; N VY-N SQUARE FOOTAGE: ESTIMATED COST OF CONSTRumON: (EXCLUDING LAND VALUE) /. :# 06110/6 NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): For Single Family and Two Fam.ilL.~~~l ~tccessory structures, this permit is valid only if cons!XUc~ion c?~e~ces within ISO days of the date Of.'. ~IHil!f~rmi~ 6i~ etea (Certificate of Occupancy issued) within 1.8 m. 9~th(~f the iss!lance date. Class I structure permits ar s=~~sM~ of the State of Indiana (See 675 lAC 12) re~~~2-g ~pi~~t,~~n,.tJ~!le frames for be~ing and Su I <::tme and LOC3 <>i::1=l~&gconstruction.. ..-" \,0.''' '.<>./. , '.'. I, the undersigned, agree that anyQtM~~lilftIE~~~~~r~Pim.tion, or alteratlOn of a structure; ?f ~ny'change in the use of J~ or structures, requested by this appli' . ~"-'fh, 0 ,~~JaQf"of the State of Indiana, and the "Zoning Ordinance of Carm~I,lh'dlana -.J99~;(Z' 289) and amendments,~-~ ~u.~" ,. . :t~q, ~neral Assembly'of the State of Indiana, and all Acts ~mende+Prn thireth-. IEurther ce::.9fy that'qnly kitchen, bath, and flo~ G~Qt:C t t iw.~ewer. I further certify that the construction will n~t 1:'e)I,sed or~Jpied until a );.ertiEica. e of \. Occu'Pancyh been M~Jd~by th ar f!Ommunity Services, Carmel, Indiana, \ \ \ \ \ \ -'" ... \ " ' . rO" Lot Split: OFFICE USE ONLY: *******************************.~*******************7*J~*~****************** INSPECTIONS REQUIRED: Filing Fees: -' ;/ (J . .' Base Inspections: '2 -? ;7 :;;z; ~ pper Footmg Lower Footm nder Slab . . Cert of Occupancy: ') 3 . ,Jd ough I FinalSlte' ./ J '7 ~ P.RJ.F.: / /0<- G /.--;jj \\r~Q. M~ LL-?7-~ L-;~d~JA~:~' $;23 sri m 'ed/Appr~ved: Dept. of Community Services (Date) ~ ~~/G<------_. \'ll1S/ILP RESIDENTIAL Print Fee Received by: l\ \ 5\- TAX MAP PARCEL #: PLUMBING CONTRACTOta . ~ ~ rtL'I- Plumber's Indiana State License #: JO~/109 Which plumbing codes will be applied to the construction: o International Residential Code wI Indiana Amendments ~niform Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) o CRAWLSPACE 0 PeST & BEAM PIER o SLAB BASEMENT (WALKOUT:~Y. ( N ) ./ Oate # Charged Re- ReViews Additional Fees Date