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HomeMy WebLinkAbout07090149 ApplicationPermit k: ©/ City of Carmel/Clay Township RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION M01PNp ' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME' PHONE: FAX: -tet --Ckb00 Jb'C?1 OF RECORD: STREET A°D CITY, ?V? STATE: ray: l? 00 IN ? 1?. BUILDER'S EMAIL ADDRESS: G Q.Y\V?\S /tt; `• BEST METHOD OF CONTACT: - A1 m b . ?Wl0..lk [ U.L ck I1 ty PROPERTY NAME: PHONE: FAX: OWNER: e II i`. i ? i STREET ADDRESS: L' j? "CITY: STATE: ZIP: C r. ?? I( LOCATION & PROJECT LoT#: SUBD NAME: d? ?? LL-'+ S ?\Lk[?\? ?o SECRON: ZONIpG: M? ?? K- INFO: ADDRESS OF -+------' -_ f SQUARE f I FOOTAGE: I! r. SEWER LITI PROVIDER: WATER ELrnLkTY R: ^ ?? -?`?• PROVIDER: Y V \ ESTIMATED (EXCLUDING COST OF CONSTRUCTION: LAND VALUE) LUE) , co / NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET ' NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #5 (IF APPLICABLE): (( I Lg-?\ pir `Cks FLOOD ZONE AREA DESIGNATiON(S) r.-?-??-i'-.,,r'' &FI :i TAX MAP PARCEL FOR THIS PROPERTY: . TYPE OF CONSTRUCTION: M SINGLE FAMILY G TOWN HOME ? TWO FAMILY # of units being constructed at this time'. ? RESIDENTIAL (For Additions. Remodels. Etc.) PROJECT INFORMATION: Early Release Permit: Y? N Lot Split: _Y ? N VNEW ? ROOT ? PORT RL- U State License #: e t 7& DECKADDrrION(S) 11-1 l'-A J ? REMODEL h plumbing codes will be applied to the construction: _ Basement F?iin??ii,??ii J-pVkTJC-" - ? ACC_ES,50". Bt?D'AI t69ula international Residential Code w/Indiana Amendments ???f>DfYACH?? O Uniform Plumbing Code w/Indiana Amendments R= o' n?FAeH>ovi'RAa0ode5 gab ` DEMOLIT ON `( 1(Y S V`•?,-.? EP DATIO TYPE: (Check all that apply for the new s r J-0\ N14L N 'OWN ruction area) blaWfsdnred ?Y[ L7?/ C'-Tr?ri?//isef vf?F''?vr+?-?Yp N CRAWLSPACE O POST &_BEAM -PIER C)9uYnP Pump: k+ E- -N Q SLAB ? BASEMENT (VIALKOUT:_Y_N ) For Single Family and Two Family dwellings, additions, remodels, and/or accessory: structures, this permit is valid only, if construction commences within 180 days of the date of issuance of the building permit, and most be completed (Certificate of Occupancy issued) within IS months of the issuance daze. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 LAC 12) regarding expiration time frames for beginning and completing construction, 1, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and tbe'Zoning Ordinance of Carmel Indiana -1993" (2- 239) and amendments, adopted under authority of I.C. 36-7 et seq. General Assembly a' the Stare of Indiana, and all Acts amendatory thereto. I Gather certify :hat only kitchen, bath, and Elect drains a??onnecred to the sanitary sewer. I further certify that the constriction will not be used or occupied until a Certificate of Occupanc - as been i 'ued by, the D artrnent of Comm nity Services, Carmel, Indiana. I C, i ' Sig re IOwnera Auklaadkd Agent PmTt Date OFFICE USE ONLY: ***********************************************x******?s?Osss**s*s*s*******+ INSPECTIONS REQUIRED: Filing Fees: Base Inspections: , 3 0. QO # Charged Re- Upper Footi Lower Footing Under Slab -? i Reviews Cert. of Occupancy: Rough Meter Bas Final Site P.R.I.F.: . ? - Additional Fees 2 ?a Reviewed/Approved: Dept. of Community Services (Date) S:Peonltsiramrs/RP RESIDENTIAL r. - -- ' Date