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HomeMy WebLinkAbout07040113 Application City of Carmel/Clay Township Permit#: 070YOl13 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: ou~y will t/ltu STREET ADDRESS: '15 BUILDER'S EMAIl ADDRESS: /Y'//V4l- (C. €? '&L. CoH NAME: STREET ADDRESS: LOT #: iO SUBDIVISION NAME: ,e# C:S7.4Tf::--S PHONE: 31\ - 3. ~'z.- SS '-f I CITY: ~ ~6L FAX. 311 -(JY6 n l! l, STATE: /-1../ ZIP: ~t 03 \..- BEST METHOD OF CONTACT: PHONE: FAX: CITY: STATE: ZIP: SECTION: ZONING: C :> FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: TYPE OF CONSTRUCTION: )$. SINGLE FAMILY o TOWN HOME o TWO FAMILY # of units being constructed at this time: o RESIDENTIAL (For Additions. Remodels. Etc.) PROJECT INFORMATION: Early Release Permit: _v /N _v --,.LN TYPE OF IMPROVEMENT: )( o o o o NEW STRUCTURE ROOM ADDITION(S} PORCH ADDmON(S) DECK ADDITION(S) REMODEL _ Basement Finish only o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLITION Manufactured Trusses: P!rA;) /v_N SQUARE FOOTAGE: 6; ESTIMATED COST OF CONSTRumON: (EXCLUDING LAND VALUE) '-( 0 00(:) 0 : NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT "S (IF APPLICABLE): _N) \ For Single Family and Two Family dwellings, additions, remodels, andJor accessory structures, this permit is Validi"nl . . ~t!, commences within 180 days of the date 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) re~ ~~n time frames for beginning and completi.ng construction, ~. I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of . ' r -' ny 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' n oning Ordinance of Carmel Indiana - 1993" (Z' 289) and amendments, adopted under authority of I.c. 36'7 et seq, General Assembly of the State of Indiana,' d all Acts amendatory thereto, I further certify thilt only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of Occupancy has been issued by the De artrnent of Community Services, Carmel, Indiana. , OFFICE USE ONLY: **************** * *************~~*******************,*A*** ************************ INSPE NS.REQUIRED: FIling Fees: /LLf: J 6, ~~ _ ~ Base Inspections: ) /l- -;z ~ '0 Upper Footm Lower Foot,n Under Slab "" _______ Cert, of Occupancy: S:>. )'{/ Site P,R.LF,: / d. 6/ , 00 TOTAL.: . j/..;;c,yo./o , ~ Lot Split: Sump Pump: H/ /1/4 Print Is Dept. of Community Services ESIDENTIAL ~J ',P"mUslfoem>IILP ,!<-Jt:01d+O /I 2,-; ,,' TAX MAP PARCEL.': APR 1 6 2007 'I i" 1)1, ",_./1 --__.J'----- PLUMBING CONTRACTOR: .Y/? 7lIoH/Pi Plumbers Indiana State License #: 197t>(J/;21 . Which plumbing codes will be applied to the construction: I ~ International Residential Code w!Indiana Amendments o Uniform Plumbing Code wI Indiana Amendments ! i FOUNDATION TYPE, (Check all that apply for the new construction area) o CRAWLSPACE 0 POST & o SLAB J(' BASEMENT (W _PIER )Clf{} U,e. 7' 4-1/.07, Date # Charged Re- ReVIews Additional Fees Fee Received by: Date'