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HomeMy WebLinkAbout07030028 Application City of Carmel/Clay Township Permit #: ()"/()3~c:t 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 lJTIlITY PROVIDER: NAME: t PHONE: 255.qCfLX) ~ BUILDER'S EMAIL ADDRESS: l?:>DfrV is @ m.+ ~ METHOD OF CONTACT: NAME: STREET ADDRESS: SUBDIVISION NAM : LOT#: 1'2:> ADDRESS OF CONSTRumON: I ~ '3 C-rMD PHONE: FAX: CnY: STATE: ZIP: ZONING: SQUARE /} '7' ') 'I FOOTAGE: U 00{ ESTIMATED COST F CONSTRumON: /} ""'5 rn<\ (EXCLUDING LAND VALUE) d'ol (}JL-l NAME OF UTIliTY EXCAVATION CONTRACTOR; PLAN COMMISSION / aZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE): FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: TYPE OF CONSTRUCTION: 1}n- SINGLE FAMILY -cs TOWN HOME o TWO FAMILY # of units being constructed at this time: o RESIDENTIAL (For Additions. Remodels. Etc.l Early Release Permit: PROJECT INFORMATION: -y~ _Y~N Lot Split: TYPE OF IMPROVEMENT: ~EW STRUCTURE o ROOM ADDITION(S) o PORCH ADDITION(S) o DECK ADDITION(S) o REMODEL _ Basement Finish only o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLITION Manufactured Trusses: Sump Pump: ~N V""(~~'N. 8::'~,h {(T o7~CO'J,'7 TAX MAP PARCEL #: PLUMBII';I(-d:jRACTOR: tS'm cH? Plumber's Indiana State License #: Jf) 1117 Which plumbing codes will be applied to the construction: .J5?1ntemational Residential Code w/Indiana Amendments o Uniform Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) o CRAWLSPACE 0 POST & BEAM PIER o SLAB BASEMENT (WALKOUT:_y--0) For Single Family and Two Family dwellings, additions, remodel~, ana?~-1u:l;l~iso'ry-ttru rl1/~,~s permit is valid only if construction corrunences within 180 days of the date of issuance of the building permit, and mustf?bfi9,mp,leted,',/(S~_~!Jib~m;O,'c cC<!j, ~fY issued) within 18 months of the issuance date. Class I structure pennits are subject to the General Administrative J\~!~~ 4t:~a"kBf ~~!R<l:Ys&' :<C 12) regarding expiration time frames for beginning and VI <~preti,!!\cOi\strutti';;ni', ~ ' I, the undersigned, agree that any constructio, n, reconstruction, enlarge~~i..J;~}~a.tioP~br:alte, faf,i6:p- a-t~ure, or any change in the use of land or structures requested by this application will comply with, and conform to, all applicabl~~~R1.-~1l'e ~J;{(o!ill}4t n~~ning Ordinance of Carmel Indiana - 199r (Z~ 289) and amendments, adopted under authOrity of LC 36-7 et seq, General Asseri1BIY6fi._~e '5~" E, ~> cit fiY!~,~ nt\l~ alM~ J'}l!ndatory thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify iii'Mk~e;_.x.alfs"~pbiycrTII~~Iiy:::&'(jor occupied until a Certificateo! Dee cyhas been ias d hy the Department 01 Conununity Services. Carmel. Indian'ii,l;!', "0 ;:;;{Q , ?J4 Cl W,,'9. 01 Date \ "fiewed/Approved: Dept. of Communi 'lits/FormsfIlP RESIDENTIAL OFFICE USE ONLY: ******************************~~****** ****************6;?*~******************* INSPEC1l0NS REQUIRED' FIling Fees: rJ - CJ Opper ~ U;-wer F~ U~der Slab Base Inspections: ~ ?7. )~() Cert. of Occupancy: ' '-i). S- 0 P.R.I.F.: ,/ d 61 ;f Additional Fees ~ r;235/t?o Fee Received by: Date (Date) # Charged Re- ReVIews