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HomeMy WebLinkAbout07090061 Application"I,." , Permit #: /VIcjo(oI City of Carmel/Clay Township ,i 1 RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION eoiAxa % For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME. wt, CASFY-l3EQrvAM Conrr PHONE: Syb-336b FAX: sy6-6680 OF , RECORD: STREET ADDRESS: CITY: STATE: ZIP: 5-,7Eo E, zSrH SrX66T- INDIANAPOLIS Ihi 46Z18 BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: 5CA5Ey 5635 A;OL, COM So6-3360 7 e1-6843 C-Eu PROPERTY NAME: PHONE: FAX: Cori STQ-Ucrro,j lar 3R0wNIN( 34y-7373 3'+4-74473 OWNER , r : STREET ADDRESS: CITY: STATE: ZIP' 0100 W,<ST- qbTVI Sr2EEr I NO(ArvA eoL IS la tf&z78 LOCATION LOT SUBDIVISION NAME: SECTION: ZONING: PROJECT & INFO: 1 ADDRESS OF CONSTRUCTION: SQUARE y l 9111f y 12650 CLAY CEnTE2 rLOA17 { / SEWER UTILITY PROVIDER: 5L(1TtC WATER UTILITY PROVIDER: WALL ESTIMATED COST OF CONSTRUCTION: _ (EXCLUDING LAND VALUE) 16 I0S r , NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL #: FOR THIS PROPERTY: 1'1 -09- 27- oo -oo -032, 000 TYPE OF CONSTRUCTION: TYPE'OF,IMPROVEMENT: PLUMBING CONTRACT (r? 2 M 12 ?u LS I ` D SINGLE FAMILY S\ ?DI'`NEW STRUCTURE ll JJ - U L5 ED TOWNHOE IL G ?? G D ( P Plumbers Indiana State L e3" 1 4 ZOO) Y n2 TWO FAM , O ? ? te " 4 ITION(5) ORCH A ; =IO i? C'ADDIIlON S ' D C ?a ng an # of tin It 4 <D? ( ) E I constr Wid aNthis ov ?itl?g.?` _ r 4 A ??? ;REMODEL r' •. _ Basement Finish only Which plumbing codes will belied to the construction: t D I 115E ii4- orn' 1 G• ?Y _ACCESSORY BUILDING s O International Residential Code w In Tan n Adddi?ns. "n i ls. Et'ca} •• DETACHED GARAGE ^ .IXAC ED,.,RAGE O Uniform Plumbing Code w/ Indiana Amendments ,? P? <Q ('? PR 33EC?GYNFO1tMATION? DEMOLITION FOUNDATION TYPE: (Check all that apply for the new ?° construction area) Early Rel? Manufactured Permit: _Y _N Trusses: _Y _N D CRAWLSPACE O POST & BEAM -PIER Lot Split _Y _N Sump Pump; Y N Q SLAB D BASEMENT (WALKOUT:_Y_N ) For Single Family and Two Family dwellings, additions, remodels, andror accessory structures, this permit is valid only if construction commences within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that any construction, reconstruction., enlargement, relocation, or alteration of a structure, or ary change in the use of land or suucruics requested by this application will comply with, and conf=, to, all applicable laws of the State of Indiana, and the 'Zoning Ordinance of Carmel Indiana -1993" (2- 289) and amendmenrs, adopted onderaucaoriy of IC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereco. I further certify 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 Occupancyhas een issued X15? Department of Community Services, Carmel, Indiana. Sav (Asir, 8-3f-07 simatu Owner wA dwrized Ag Print Date OFFICE USE ONLY. *s**ssss*s****s***sss**s**s*s*s**s*****x:****s****.***r*7********s*..*******s**s**s Filing Fees: 6 INSPECTIONS REQUIRED: 77 ?_ Base Inspections: # Charged Re- Upper Footing Lower Footing Under S ?/Pclaf?b Drta ) Reviews L?1??0f.?y. fl: ? ?t ? • ? d - Rough In Meter Base Final Site 0 o T c • Additional Fees Reviewed/A roved: Dept'of Community Services Date) S:PemitslFormsl?.P RESIDEifnAL