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HomeMy WebLinkAbout07010169 Application City of Carmel/Clay Township Permit#: 070) Olb~ RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures )ER ,-, ~CORD: PROPERTY OWNER: LOCATION & PROJECT INFO: NAME: R.A L(J e V)Ml2JJ C~+ I (j\) V,"HONE: STREET ADDRESS: ~ 41. q B Ll1 If C-e.DClc O~: I~ ~y 63~~ CiWLrn 6L-- STATE: J0 I BUILDER'S EMAIl ADDRESS: F2-'\W j.') e, (\ lffiT20 811J6, C6YII L~~ ~ i() ~+,00v, ~L~ 8C4 e CtU5l>\L [)fL, CITY: s~o~ t WJl,v~ Cf21)L,\L'ON ADDRESSOFCONSTRUcrrON b\9 ~ WWJ sMV LG\~( Ofl-I /1 2 y~~~ mUG ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) SEWER UTILrTY f' I .I n \ ,\ r\ WATER UTILrTY (' f\J),^- PROVIDER: ~ IL.~ PROVIDER: \...II1y L, I' lfl-, NAME OF UTILI1Y EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDIOR SEPTIC PERMIT #'5 (IF APPUCABLE): 00 k:.... JJr~v Dn0VO~~1 \10 FLOOD ZONE AREA DESIGNATION(S FOR THIS PROPERTY: JAN 2 5 20m TYPE OF CONSTRUCTION: ~ SINGLE FAMILY TOWN HOME o TWO FAMILY # of units being constructed at this time: o RESIDENTIAL (For Additions. Remodels. Etc.) PROJECT INFORMATION: Early Release Permit: Lot Split: _V..,&N _V-j4-N TYPE OF I ~ o o o NEW STRUCTURE ROOM ADDITION(S) PORCH ADDmON(S) DECK ADDmON(S) REMODEL _ Basement Finish only o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLmON Manufactured Trusses: _y){LN Sump Pump: -iJ-v _N TAX MAP PARCEL:'#:: 'I; "I' " " 'I' III J. 'II " PLUMBING CONTRACTOR: .s CkJ (A Wi.... R L()tl1 BUS) (]V.J / Plumber's Indiana State'L1cense #: $? g J 0 [S-d1lS- Which plumbing codes will be applied to the construction: o International Residential Code wI Indiana Amendments ~ Uniform Plumbing Code wI Indiana Amendments FOUNDATION TYP~: (, eck all that apply for the new construction area) f-CUI\ o CRAWLSPA 0 POST & _ BEAM _PIER o SlAB BASEMENT (WALKOUT:Lv N) For Single Family and Two Family dwellings, additions, remodels, and/or accessory...~~U1Fl';!,J;.e~ht~s rmf~~~;JJiA" y' fPBmHS!ffRifl'ltammences within 180 days of the date of issuance of the building pennit, and must be completed (Certi~d:d 'W.'&4r.~lh~ m ntRsoTih-e-issuance date. Class I structure pennits are subject to the General Administrative Rules of the State of Indiana (SeeOtr . :t}rr8t~g.e . ,.:'\ time frames for beginning and completingco",~ nF COMMUNITY SERVICES I, the undersigned, agree that any construction, reconstruction, enlargement, relocation~nlter'atiOn of a struc. ture, qr},W 'iNP&f-~tqe,/r,l~'H)i Wt4 or structures requested by this application will comply with, and conform to, all applicable laws of ~~e 6DlTidGAiiM:it:zh~in~VM1~mlniana - I993~ (z- 289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, aq~,tM2S.Nl!fndatory thereto. I further certify that only kitchen, bat and oar rai are nn t to t e anitary sewer. I further certify that the construction wII~l.'lrt'lk'hsed or occupied until a Certificate of ocf!I\- ,ens by Dp' entof ommUnitYServices.c~,~~an!-, A~Q.O PR-u.JOJ-7~--{(1) Signatu~ o\g t Print j.9 \ Date OFFICE USE 0 Y: *******************************.~********************i***~*~*;;;D***************** INSPECTIONS REQUIRED: FIling Fees: , ,~rd-, , <\leper Foot~ower FOO~ Under Slab Base Inspections: ~ =:.- 3 ~ ~ Cert. of Occupancy: 0 3,...) ~'~ter B~ Site, P.R.I.F.: / d-... (; / O() # Charged Re- ReViews Additional Fees .90