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HomeMy WebLinkAbout07030075 Application City of Carmel/Clay Township Permit #: 07 0300rb RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures ( BUILDER OF RECORD: PROPERTY OWNER: LOCATION 8r. PROJECT INFO: (... BUILDER'S EMAIL ADDRESS: ''-1 NAME: Gz A 12. \lMe- 5~\~i~d .0\-3S" ZIP:q.l.o203 STREET ADDRESS: 13 i\ LOT#: Z(O tAU lAh( rlz is CITY: STATE: BEST METHOD OF CONTACT: 5" FAX: STATE: Z~ &D:S:5 SECTlON~ ZONING: p. _ I SQUARE -') rv:J. rf., FOOTAGE: -,,"Vl:? T ESTIMATED COST OF CONSTRUCT1f'I!: ()_ (EXCLUDING LAND VALUE) <!!!l> '0 I WO NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZAI BPW DOCKET NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL ANDIOR SEPTIC PERMIT #'5 (IF APPLICABLE): ____ FLOOD ZONE ARfA_'DESIGNAtjON(S)-~_i;;:';;' i,r :~, \ FOR THIS PROPERr:: ". " ~.:; '.'.:::~ Ii <Ji~'2'~~. C; \ X _ _'_ .._...... .,..~- - , 1, \, I TYPE OFiiMPROVEMENT: "1 ill 9 20070 \N,~I~RUCTURE o iROOM ADDITION(S) ._ ___._Cl.__!PoRCr. ADDITION(S) o DECK I'DDITION(S) 'N" REMODEL ---"=-sasement Finish only o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLITION TYPE OF CONSTRUCTION: -,1 o SINGLEFA~ILYMAR o TOWN HOME o TWO FAMILY # of units being constructed at this time: Ji( RESIDENTIAL (For Additions, Remodels. Etc.) PROJECT INFORMATION: Early Release Permit: Lot Split: _Y 'l( N _Y XN Manufactured Trusses: _Y X N Sump Pump: _y.2s.N TAX MAP PARCEL #: lit> I01.Cj02..0 032. (X)o PLUMBING CONTRACTOR: f'\Oh< Plumber's Indiana State License #: Which plumbing codes will be applied to the construction: o 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 CRAWLSPACE 0 POST&_BEAM_PIER Jii{ SLAB BASEMENT (WALKOUT:_Y_N) For Single Family and Two Family dwellings, additions, remodels, and/or accessory sl:n1ctures, this permit is truction commences within 180 days of the clate of issuance of the building permit, and must be completed (Certificate of Occupancy issued) wi ~he issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding ex" 1Zs for beginning and completing construction. m C, the undersigned, agree chac any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the u d r'es requested by this application will comply with, an<!.conform-to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel . g ~- ~d amendments, adopted under authorjty6f LC 36,7 et seq;-Ge~ral Assembly of the State of Indiana, and all Acts amendatory thereto. I further c '.. nly che ,bat ,an or drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certifica.te 'Ccu cy h be n issued by the De / tment of Community Services~G:armel, Ind' a,\ . viL; 3, ) .--r h c. <- ;;?-- 9 -0 7 Signatu f ner or Authorized Agen .;\~ - j). OFFICE USE ONLY: ******** ****~*****~~******.**************',.{-j**Jr****************~**?'('O^ ~ 0 INSPECTIONS REQUIRED: FIling Fees. I:;' u \t{1 Ify~,:> ')l~ . ---:- . Base Inspections: I J..4, 'if 0 # Charged t --! pper Footing) ower Footmg Under Slab 't<:f) ReView >N.f:-I - = ite '-j Cert. of Occupancy: (~J. .:zI1 V , ~~ter Base C:al. S/ ~.: t .35'3. ~ Additiona~nR , TOTAL: ~~;Z4, 50 .~ 3 S?.,() ~ c~ D..1e w/o ~=:lJt~;7/J,.~!bJ ~ ~. viewed/ A~ ov : Dept. of Community serv:es ~ "ZPenn1ts/Fonn"ILP .ESlOENnAL Fee Received by: o.te