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HomeMy WebLinkAbout07080147 Application4-?A'R? Pe rmit #: ©7 City of Carmel/Clay Township RESIDENTIAL EMPROVEMENT LOCATION PERMIT APPLICATION Mnwi' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME. PHONE: FAX: 6 ?Z96z ?Y? yzzY OF RECORD: ` N/ STATE: ZIP: STREET ADDRESS- ?,/ CITY: oZr R"-' t'I 1f e (a 2- Vl ESS: BEST METHOD OF CONTACT: BUILDERS EMAIL ADDDR R .C / ..c. c/ r. _ u. 7 PROPERTY NAME. PHONE: FAX: OWNER r` : STREET ADDRESS: CITY: STATE: ZIP: LOCATION LOT #: SUBDIVISION NAME: SECTION: ? ?? Z? 3 r?"• ZONING: -Z PROJECT ` & INFO: ADDRESS OF CONSTRUCTION: L SQUARE FOOTAGE: V7 4 SEWER UTILITY WATER LTTILTTY PROVIDER: ,_/2 PROVIDER: c? 4 ESTIMATED COST OF CONSTRUCTION: (7? (IXCLUDING LAND VALUE) 2 2-, a Od NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMPASSION / BZA / BPW DOOM n 11 f NUMBERS; TAC DATE S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): L F ? VJ IS FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL # ry?T AURA FOR THIS PROPERTY: * w TYPE OFCONSTRU ON: SINGLE FAMILY CD TOWN HOME ? TWO FAMILY # of units being constructed at this time: 0 RESIDENTIAL (For Additions. Remodels. Etc.l PROJECT INFORMATION: Early Release Permit: _Y _N Lot Split: _Y _N TYPE OF IMPROVEMENT: C3?IEW STRUCTURE ? ROOM ADDITION(S) CD PORCH ADDITION(S) O DECKADDITION(S) ? REMODEL _ Basement Finish only ? ACCESSORY BUILDING ? DETACHED GARAGE ? ATTACHED GARAGE ? DEMOLITION Manufactured Trusses: Y N Sump Pump: L4-N PLUMBING CONTRALTO B T ° a ?a / G V ' Pluu bets Indiana State Li se /or 9d 9 B Which plumbing codes will be applied to the construction: C?temational Residential Code w/Indiana Amendments O Uniform Plumbing Code w/ Indiana Amendments FOUNDATION TYPE: (check alt tit apply for the new construction area) ???pp,",(P?G ?61?0^8 O CRAVIL5 1CP g\\C?D0 ST &G BEAM -PIER For Single Family and Two Family dwellings, additions, remodels, and/or accesso s`0Gr II ic ®f the commences within 180 days of the date of issuance of the building permit, and must be completed (Certifi to ` B the of the issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Ind?tt 6 O .'ltE?'1((ta?a?trdd??t..'r?l? `- >(,ation time frames for beginning and completing construction. ^p ?•?s` (^. I, the undersigned, agme that any construction, reconstruction, enlargement, relocation, or:p; .1 [Lfur-ure,tq ange in the use of land or structures requested by this apphcarion will comply with, and conform to, all appkaole laws of the Sta[ V? QQdQ° ace the Z ning Ordinance of Carmel Indiana -199r (Z- 289) and amendments, adopted under authority of ) L. 36-7 et seq. General Assembly of tie ?'Fbt"Indiaaa, and all Acts amendatory [hereto. I further unify that only kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of Oecupancyhas been issued y the Department of Community Services, Carmel, Indiana, e? ..r tw....s n. e?.enmi?od ennt Prit *xxxx****xxxxx*xxx***xx*xx*xxxxx*xx*x**xx**x*xxxx OFFICE USE ONLY: INSPECTIONS REQUIRED: pper Fooling ower Footi Under Slab Rough In Meter Ba final Site ('kA)/ t M164,e 9-7 o `a Reviewed/Approved: Dept. of Community Services (Da ) S:PenNt%FFonrsflLP RESIDENTIAL Filing Fees: Base Inspections: Cert. of Occupancy: x*x # Charged Re- Reviews P.R.I.F.: JrX b /. U 0 Additional Fees