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HomeMy WebLinkAbout07080089 Application I -. City of Carmel/Clay Township Permit #:J27(tQQaS1 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER OF RECORD: NAME: PHONE: FAX: 575 J :>50 X :J00 STATE: ZIP: ~-T CI-\t2MEL 4-100 E:/YlAIG PROPERTY OWNER: GlL-TS H-OlV\CS STREET ADDRESS: CITY: I ( 5 q 0 I\J {Y'\:I<.- 0 A BUILDER'S EMAIL ADDRESS: ,JO AN N E:, - -S f-- PHE:R-O ~_P\1'Y\C NAME: PHONE: FAX: STREET ADDRESS: CITY: STATE: ZIP: LOCATION & PROJECT INFO: .... SECTlON: 6UJ LFORJJ 3(0 ZONINGS -1 SQUARE '115'73 FOOTAGE:~ NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR S C PERMIT #'S (IF APPUCABLE): A -1 ~LLPf;f2l OR- SEWER lJTILITY PROVIDER: Q WATER UllUTY PROVIDER: CL/\ ESTIMATED COST OF CONSTRUCTION" (EXCLUDING LAND VALUE) FLOOD ZONE AREA DESIGNATION(S) FOR THIS PROPERTY: ,r \/" SUbject to eo FOR CONSTR ^ rnplia Q' C TYPE OF 'T:"nd Loea ~ :rRA OR: (' y/~lfiIqtl~~ MMUNITY ~;s. , r ' VVl 4--- ~D N S o ROOM ADi>rito-m~PE:L / CUfI/"",~f!.I~ State License #: o PORCH ADDmON(~~,"" ^ I , 'NQ""fiV\ /- 0 \ o DECKADDmON(sl' ";r;{VI\ ./r-'vwvO I o REMOBDEL t F- ii'V, ~ Which plumbing codes will be applied to the construction: asemen I lfjL o ACCESSORY BUll ~t0" G"iiitemational Residential Code w IIndiana Amendments o DETACHED GARAL 0 U -f I b' C d II d' A d ts o ATTACHED GARAGE m arm P urn Ing 0 e w n lana men men o DEMOLmON TYPE OF CONSTRUCTION: g....SINGLE FAMILY '1:J TOWN HOME o TWO FAMILY # of units being constructed at this time: o RESIDENTIAL (For Additions. Remodels. Etc.) Early Release Permit: V'/N vt::1;' Manufactured Trusses: Sump Pump: ~V_N L/Y _N FOUNDATION TYPE: (Check all that apply for the new construction area) PROJECT INFORMATION: o CRAWLSPACE o POST & BEAM _PIER V_N) Lot Split: d only if construction co 'iliA 1M'''''''' '\WI..'''" ing exp\tadOlVt~ame ces within 180 date. Class I beginning and For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit i days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issue structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) r completing construction. I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a srructu any change in the use of land 0 structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ndia 1993" (Z' 289) and amendments, adopted under authority of IL 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory t ereto. 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 Occupancy has been issue by he Department of mmunity Services, Carmel, Indiana. /' \.J'. . ' f', \..LOf\~NE ~I-IEPt+C12D ignatu Owner or Authorized Agen Print 8i7 /07 00" SEONLY:******************************~~********************~*************************** INSPECTIONS REQUIRED: Filing Fees: h,{/,? 0 UP~ting Lower Footing ~r sIa0 Base Inspections: .~ a 7_____s0 ~ Cert, of Occupancy: Ss - ) 0 inal Site.: P.R,I.F.: ) 02 C I 00, J_ TOTA~: ;$/ ;:2db~ 30 FeeRec'tl:Jl~~4\ fl. " : J!tJ-1/L ~?/~ # Charged Re- ReViews Additional Fees Reviewed/Approved: Dept. of Community Services S:PermitsjFormsjILP RESIDENTIAL (Date)