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HomeMy WebLinkAbout07080142 Applicationt:j ov eiq?? v City of Carmel/Clay Township Permit: E7 70 0 J, RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION 7,H01° For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME: PHONE: FAX: -LI40"s L-\ c T gc)l 841 -t 84( OF . ' .o . - ", &T RECORD: STREET ADDRESS: QTl': STATE: ZIP: ? Ty 4 Z C f ) - c) 1 C r-max LW, BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: tl >v???w? eS CJ G k •Cor-%- ti atr : l PROPERTY NAM PHONE. FAX. OWNER: i :a STREET ADDRESS: CITY: STATE: ZIP: LOCATION LOT SUBDIVISION NAME: SECTION: ZONING: & PROJECT +e2b 5-1 INFO: ADDRESS OF CONSTRUCTION: 'OtJ'eCb r'OC7 t(-• SQUARE ?/ FOOTAGE: R ?? SEWER UTILnY WATER lmL1TY ESTIMATED COST OF CONSTRUCTION: rrn (EXCLUDING LAND VALUE) 8f? oO _\ PROVIDER: cc PROVIDER: CJ ? ` C.- f ? NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET O© NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): 1'? tt i C CC- L) FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #: FOR THIS PROPERTY: :L«)(CO'?,(?(p( F CONSTRUCTION: TYPES OF IMPROVEMENT: PLUMBING CONTRACTOR; PE Q T Y ? a?? 182( 7 SINGLE FAMILY NEW STRUCTURE v - - ? TOWN HOME ? TWO FAMILY # of units being constructed at this time: 0 RESIDENTIAL (For Additions, Remodels. Etc.) PROTECT INFORMATION: Early Release Permit: Lot Split: F---- ROOM ADDITION(S) Plumber's Indiana State License O PORCH ADDITION(S) \\ S DOD 6 ? DECK ADDITION(S) - O REMODEL Which plumbing codes will be applied to the construction: Basement Finish only ? _ ACCESSORY BUILDING O International Residential Code w/Indiana Amendments O DETACHED GARAGE Code w/Indiana Amendments Q Uniform Plumbin O ATTACHED GARAGE g ? DEMOLITION FOUNDATION TYPE: (Check all that apply for the new construction area) Manufactured // 4 PIER BEAM Truss es: Y 4 - O CRAWLSPACE O PO Sump Pump: N ST O SLAB fE BAsw UT:='-N ) -Y ---'-N Y LN For Single Family and Two Family dwellings, additions, remodels, andlor access days of the date of issuance of the building permit, and must be completed (Cet structure permits are subject to the General Administrative Rules of the State of ices within lea date. Class I beginning and I, the undersigned, agree that any construction, reconstruction, ealargemenc, reloca[iotFr52['enc4i ? W1- h[1ad Sri c caAtHh"use of land or structures requested by this application will comply with and confocn to, all applicable laws of the Stare LM. len?'41i nance of Carmel Indiana -1993' (Z- 239)and amendments, adopted under authority ofLC.36-7etseq, General Assemith, of r!pyyGp s awry chereco. ILur[her certify [hat only kitchen, bath, and 9oorcirains are coanccred to the sanitarv sewer. I further certify that Afeti?tc6iA6Will )mss or occupied until a Certi&"m of Occupanc been issued by the Department of Commutticy Services, Carmel, Indi? Signature of Owner w Arthent Ageat Print Date I jeed OFFICE USE ONLY: x*******x******xxx**xxx****x***** xx******#*xx x//* ** ****xx**x*x**xxx*** Filing Fees: Fees: ?b/' INSPECTIONS REQUIRED: - l Base Inspections: # Charged Re- pper Fo Cower Footin Under Slab Reviews Cert. of Occupancy: 50 Rough In `Meter Base Final Site I Z - r . 6 U Additional Fees P.R.I.F.: Cx/SIL., M15E g'-20-0-7 Reviewed/Approv : Dept, of Community Services (Date) S:P iwFvor00 RESIDEm L