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HomeMy WebLinkAbout07090060 ApplicationPermit #: orfo 9,M(, 10 ? City of Carmel/Clay Township RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION %nraa*/ For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures FILDER NAME: ` S a2C rZv?izr TcsD4 PHONE: ,, oiU 52 FAX: X6.1 --lctS \ RECORD: _ STREET ADDRESS: `l(0S0 R ` k STATE: CITY: 5-1 ZIP: M '-E C BUILDE`R'S EMAIL ADDRESS: J (` S S V"Mc - -e F S`AC, BEST METHOD O CONTACT: ? ct? V?, C PROPERTY NAME' PHONE: FAX: OWNER : STREET ADDRESS: CITY: STATE: Zip: LOCATION LOT #: SUBDNIS NNAME: - SECTION: ` 500 2 o s e ZONING: P01 PR JECT Q A v - & O INFO: ADDRESS OF CONSTRUCTION: I SQUARE ?j FOOTAGE: 65 / y \ 301$ 1 ; , SEWER UTILITY PROVIDER: CT WATER UTILITY PROVIDER: - I1,? ? ,l 1.??'?'?1 ESTIMATED COST OF CONSTRUCTION: ' f? T (E(CLUDING LAND VALUE) ? T©O c?V ( BZA / BPW DOCKET t NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): FLOOD ZONE AREA DESIGNATION(S) 70q 0!r i 1 61V /- PARCEL #: M fl VJ L' FOR THIS IS PROPER TY: N , r I 1 O ? TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRALTO 111 VINGLE FAMILY ' >6 NEW STRUCTURE OOM ADDITION(S) VO0 L V K I3 ' L7 TOWN HOME ? R s Indiana State Li Plumber O TWO FAMILY O PORCH ADDITION(S) S_ 10 3 PCt C # of units being ?DECK ADDITION(s) J_ , constructed at this •:3 REMODEL Which plumbing codes will be applied to the construction: time: O RESIDENTIAL (For Basement Finish only C• AC_CESSORY BUILDING O International Residential Code w/Indiana Amendments Additions. Remodels. Etc.) O DETACHED GARAGE ?f Uniform Plumbing Code w/Indiana Amendments )K ? ATTACHED GARAGE PROJECT INFORMATION: O DEMOLITION FOUNDATION TYPE: (Check all that apply for the new Early Release ??(( N Manufactured Y ?N T construction area) nn GTION A Ot4I R BB R Permit: Y_ russes: _ (g Mwtia.o. I ?typp i a l l I ? l _ Lot Split _Y ?N Sump Pump: ?Y_N ?pt F, p I r 4 S Y,CN) LKO T: Subject ®r-9[ABlt;??O ggWpp hAZfJOdT?N" For Single Family and Two Family dwellings, additions, remodels, and/or accessorv sav'e?{ sst? t {yy?I ?' IfFoh?fliicti ces wlthin 180 days of the date of issuance of the building permit, and must be completed (Cemficatl;.7?(Pedu cy rss a It AILVttQSLY? t e date. Class I structure permits are subject to the General Administrative Rules of the State of Indi?¢iefSfe 11t= l fix. ration time frames for beginning and completing cans n (No(A I, the undersigned, agree that any construction, reconstmcnon, enlargement, relocation, cr aheration of a structure, or any change m the use of land o: structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning ordinance of Carmel Indiana -1993" (2- 289) and amendments, adopted underauthoncy of I.C. 36.7 et seq,Genenl Assembh• of the State of Indiana, and all Acts amendatory• thereto. I further certify that only ki.che floor drains a con e • t anitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of O pancyh a issued t ent o Community Sep`' TKO, Indiana. M D TKO, Zk S • ??na?te( 1Rf5 I 3 ?? _. ._ .e..._ _ ux..• rate 0 xaasxsssszsssxx OFFICE USE ONLY: *******x*******************************+****y *6 yj** ** J Filing g Fees: C/ INSPECTIONS REQUIRED: / J O # Charged Re- ? 2 2 Lower o Under Slab Base Inspections: . ? -? Rev ews Cert. of Occupancy: ough In eter Base Final Site P.R.I.F.: 6100 Additional Fees /a 2?C? • T , o TAL GP-lslc.?_?l?t? 9?/ Reviewed/Approv Dept. of Community Services (Date) C/ s:Permi3lFOrms/ILI RESIDENTIAL Fee Recelvec Date