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HomeMy WebLinkAbout07050023 Application City of Carmel/Clay Township Permit #: 0'1t'J15oo;;'3 , RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory StrJctures BUILDER OF RECORD: PROPERTY OWNER: NA EA"ZEf2 lio E5 E/!lbll/J :5h: .Joe) 9:}o~DDiJ' BUILDER'S EMAIL ADDRESS: h .-tffV:.ni+1 cGLer. COrY) NAME: BEALEt aMES STREET ADDRESS: olOo? IJ MEt!ID//JtJ S;-E ..300 LOCATION & PROJECT INFO: LOJt: C00.e.: 3rNEj09J53/ STATe -1-/J FAX: 3/7 ?IF 10? ZIP: '/(,2?O CITY: .TN D 15 BEST METHOD OF CONTACT: PHONE: . .3i7S~9 353/ ST. ATE:! IN FAX, ..317 ,f/I- 707 ZIP)" .2 t, 0 CITY: ItJb .::, WATER lITlUTY PROVIDER: C ALrY) co L NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW OOCKET NUMBERS; TAC OATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE), 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: Lot Split: yVN yVj(( TYPE OF IMPROVEMENT: ~ NEW STRUCTURE o ROOM ADDITION(S) o PORCH ADDITION(S) o DECK ADDmON(S) o REMODEL _ Basement Finish onlv o ACCESSORY BUILDING o DETACHED GARAGE o ATTACHED GARAGE o DEMOLITIDN Manufactured V Trusses: _Y _N Sump Pump: V Y _N I3UTTL :~.::-;\ W TAX MAP PARCELI#: o International Residential Code w/lndiana 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 o SLAB ')i BASEMENT (WALKOUT:_y....K..N ) 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 penuit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I structure permits 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 Cannel Indiana - 1993" (2- 289) and amendments, adopted under authority of I.c. 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 until a Certificate of Oc')/lancyhas been issued b17e Department of O~nynunity Services, Cannel, Indiana. rJ.-e- '-/JtUA.;...I1 - /JEflLEt-JfMlfi5 Ii/::; JV1 aI-IT T 5.:1 07 Signature of Owner or Authorized Agent Print Date OFFICEUSEONLY:********************************************************~**~********************* INSPECTIONS REQUIRED: Filing Fees: . ,f7f"1, ~~ ~M~ ...t:6"iNer FFoot tuft.. U d SI b Base Inspections: r.:::L tf 7. ) # Charged Re- ~lIIg ~ _ n er a ..--: Reviews ~ ......eC. . ../ Cert. of Occupancy: G':;-, 0 (J ~~~r rin~Site P.R.I.F.: /.-2 G/- 00 AdditiopalFees S:--/C>-O/ TOTAL: #- I'2G ()!. d-f; , Review (Date) S:PermitsfFormsfILP RESIDENTIAL Fee Received by: Date