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HomeMy WebLinkAbout04120053 Application City of Carmel/Clay Township permit#:()4r2tJ~.3 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER of NAME RECORD: [34(;-tl PROPERTY OWNER: NAME PHONE FAX LOT# . STATE ZIP STREET ADDRESS LOCATION & PROJECT INFO: -u ~ 6 .?DIVISION NAME . ADDRESS OF CONSTRUCTION ZONING: SQUARE , 1/ FOOTAGE: ~ J"i' . SEWER UTIUTY 11 PROVIDER: L. 11 NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE): A -/ A. TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: . Ai( SINGLE FAMILY )(1 NEW STRUCTURE o TOWN HOME ~ ROOM ADDmON(S) o TWO FAMILY 0 PORCH ADDmON(S) # of Units: 0 REMODEL o MULTI-FAMILY 0 ACCESSORY BlJl~N # of Units: 0 .Q~~\1.I\6E ':-' o RESIDENTIAL (For OCBO~~tiOI1S Additions, RemodeIS~"'SS Cl..\\' . III es 0 Unifonn Plumbing Codew/lndiana Amendments . ct to cow.; d LoCa "d . \J\CSS (MUlti-Family Construction Code) PROJECT INFORMATI08lJblB \ State an 1'f SE.B Q Early Release O~",~~YN\ -C{ 10WNS\-I\FOUND~T10N TYPE: (Check all that apply for the new Permit: X-Y --12jij.Pl r.llSS1!S".J\SI..:i CY" \ _N construction area) \r~ 0 Iv""" t"\D\"'~ '\ / 0 CRAWLSPACE 0 POST & BEAM Lot Split: _ Y X-N' Sump Pump:- _ Y --?f-N ~ SLAB 0 BASEMENT Does any part of the property lie within a special Flood designation area: _ Y C--1i WALKOlJT:_ Y_N PLUMBING CONTRACTOR: 1:/'1 Ulrc;u Plumber's Indiana State License #: /0)'70 7' Which plumbing codes will be applied to the construction: ~Intemational Residential Code w/Indiana Amendments For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z~289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used. or occupied u~til a tilicate of Occupancy has been issued by the Departmel!t of Community Se . ces, Cannel, Indiana. Sign Print /2-(, -0'/ Date NLY:************************************************************************ Filing Fees: S79.ID ,SPECTlONS REQUIRED: ""' / 11. 0 0 # Charged Re. Base Inspections: ---p- ~ !L Upper Footin Lower Footing r 0 , 0 i?'\ ReViews Cert. of Occupancy: u v P.R.LF.: 5:2 7. 6 0 Additional Fees ,4 ,T9TALj. fit Jt{ /~./t) ~ -~"1l1 kU::l!A~ /2 -.;;2'1'- ~ Fe R e edbv;