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HomeMy WebLinkAbout07080203 ApplicationD „., eZ City of Carmel/Clay Township Permit #:&W RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION NO Axa/ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory StrIictures BUILDER OF NAME. ?? ? \1 t Sec.l??iS -?•-- PHONE: FAX: 3 ?? - 7 ?d ? 711 S 3l 7 -?? G ' l0( RECORD: STREET ADDRESS: Nct`i9D ?wt?i oR? A STATE: ZIP: CITY: ?tdoG?-/dlt /N `GO62- BUILDFR'S EMAIL ADDRESS: p.l aC?SPx b?+('.r?? BEST METHOD OF CONTACT: I 55r7-SS2.6, c'`Q( PROPERTY NAME: " o ICs PHONE: FAX: g? 5 -?rj gS OWNER: 'A Oh STREET ADDRESS: ?4 JC 6 : SATE: ZIP: CITY co ? ?L '4 6032 n t )a . i LOCATION & PROJECT LOT 9"? SUBDIVISION N SECTION: 5 v% i M) 1I s?Awl S ZONING: ? ``, INFO: - ADORESgSOF?C/O?NSTRU/tC 014: c. L Z ?-1 1?E C A Ct{z c1e - [? C??J?t 9l7?32 SQUARE FOOTAGE: r 2© SEWER UTIUTY P VtbE WATER UTILITY PROVID ESTIMATED COST OF CONSTRUCTIO_* (EXCLUDING LAND VALUE)--rr OF U ILTTY CAVATION CONTRACTOR; PLAN COM SSION / BZA / BPW DOCKET MB 0 TAC D TE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'s (IF APPLICABLE): N J?' v \ E AREA DESI NA IO (S) TAX MAP PARCEL #: PROPERTYA THIS PE OF CONSTRUCTION: A SINGLE FAMILY O TOWN HOME O TWO FAMILY # of units being constructed at this time: ? RESIDENTIAL(For Additions. Remodels, Etc.) PROJECT INFORMATION: Early Release, Permit .+V _Y ?I Lot Split: _Y N For Single Family and days of the date of i structure permitsv* 1, the undersigned, a$1 requested by this appli 239) acd amens-'ments, Owner ar OFFICE USE ONLY: *****la* Open Footin Lower Fo75fin nder Slab Rough In Meter Base inal 5 Se Print Reviewed/Approved: Dept. of Community Services (Date S;P Itgf`a s/ILP .RESIDENTVI TYPE OF IMPROVEMENT: ? NEW STRUCTURE ? ROOM ADDITION(S) Cl PORCH ADDITION(S) ? DECK ADDITION(S) 9 REMODEL 1 _ Basement Finish only O ACCESSORY BUILDING O DETACHED GARAGE ? ATTACHED GARAGE O DEMOLITION Manufactured Trusses: _tt Y PLUMBING CONTRACTOR: P Plumber's Indiana Stn a License N I A- Which plumbing codes will be applied to the construction: D International Residential Code w/Indiana Amendments D Uniform Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) ' / a CRAWLSPACE POST & D SLAB O BASEMENT (WALKOUT: ?tty ?tructures, this permit is valid only if construction commences within 180 4mi i ered (=: ate of Occupancy issued) within 18 months of the issuance date. Class I es of the State of Indiana (See 675 IAC 12) regarding expiration time frames for begumii' and 1 G completing constriction. cU c on, enlargerrent,:duration. or alteration of a structure, or any change in the use of land or strucores [o, a a ppIIeaWe laws of the State of Indiana, and the -Zoning Ordinance of Cartnel Indiana -1993" (Z- ? It t seq, General. bly of the State of Indiana, and all Acts amendatory thereto. I furthercertiiy that only sanitary sewer. 1 further cerlp that the construction will not be used or occupied until a Certfficare of fCommunitySemces,Carmgilndiaruc r? Mitt 1 • • B 23 v`7 Date Filing Fees: / Base Inspections: ?/ ' •? # Charged Re- Reviews Cert. of Occupancy: ??3 BEAM (PIER D o T C • Additional Fees