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HomeMy WebLinkAbout07080171 Application??,``°""?•, Permit #:7 City of Carmel/Clay Township i RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME: PHON FAX: Z yz--?-`> OF RECORD: STREETADDRE fi STATE' uY? Ztr? / o z r <, v ? BUILDS 's EMAIL ADDRESS: BEST METHOD OF CONTACT: /YzA /C F- PROPERTY NAME: PHONE: Subject to compliance WtAtfl all regulations of OWNER: STREET ADDRESS: QTY: DEPT OF CCU*,MUNITY SENVICES -11TY OF \ LOCATION LOT# ""? ?? / 2 `?S > GsH / v ? SECTION: INIJIA (~? 3' AZONING: ? Z & PROJECT SQUARE ADDRESS OF CONSTRUCTION: INFO: J/ ti D FOOTAGE: t v , SEWER UTILITY WATER UTILITY PROVIDER: PROVIDER: C x- f++ C ESTIMATED COST OF CONSTRUCTION: ?? (EXCLUDING LAND VALUE) NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZAI BPI'/ DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #S (IF APPLICA BLE): ?. _ FLOOD ZONE AREA DESIGNATION(S) TAX MAP PAR L #: FOR THIS PROPERTY: TYPE OF CONSTRUCTION: O ?SINGLE FAMILY (71 tOWN HOME O TWO FAMILY # of units being constructed at this time: O RESIDENTIAL (For Additions, Remodels, Etc.) TYPE OF IMPROVEMENT: f3 4Ew STRUCTURE O ROOM ADDITION(S) ? PORCH ADDITION(S) O DECK ADDITION(S) O REMODEL Basement Finish only ? _ ACCESSORY BUILDING O DETACHED GARAGE C ATTACHED GARAGE ? DEMOLITION P McLW;3 %-UTY twa. r utc. 91 Plum-be?s IndiTana 1e _)f" a Which lumbing codes will be applied to the construction: ?ternational Residential Code w/Indiana Amendments O Uniform Plumbing Code w/Indiana Amendments PROJECT INFORMATION: Early Release Permit _Y _N Let Solit: Manufactured Trusses: _Y Sump Pump: _Y _N FOUNDATION TYPE: (Check all that apply for the new construction area) O CRAWLSPACE O POST &- BEAM -PIER SLAB O BASEMENT (WALKOUT:---Y [ifTr 'on commrnces within 180 For Single Family and Two Family dwellings, additions, remodels, and/or accessoy structures, this permit is % days of the date of issuance of the building permit, and must be completed (Certificate of Occu u hill 1 Ron e issuance date. Class I structure permits are subject to the General AdministratiYe Rules of the State of Indiana (See 67 g x ration frames for beginning and completing constriction. 11` -t thS's (land of structure_ I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or aiterationo cureyr aappy h Pt requested by this application will comply with, and conform to, all applicable laws of the Stale of Indian ' th}? d3thlg trance of a el Indiana-1993' (2- 239) and amendments, adopted under authority of LC. 36-7 et seq, General A aabl}• of the State of India d all Acts arnendatnry thereto. further certify that only kitchen, bath, and floor drains are corrected to the sanitarf sewer. I further certify that the construed will not be used or occu i a Certificate of ocrupaneyhas been issued the Department of Community Service el, Indiana '`;r?4 d Date INSPECTIONS REQUIREI Upper Footi Lower Footi t euah I Meter Ba Final Filing Fees: `e r 13 S© # Charged Re- Base Inspections: Revlev+s Cert. of Occupancy: ss. S? P R I F: 0 D Additional Fees _r Community Services (Date) Fee Received bv: Date