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07100030 Application
?,.6twN 100 0 City of Carmel/Clay Township Permit #: 0'7 RESIDENTIAL IMPROVEMENT LOCA ON PERMIT APPLICATION ??+'ouNa•% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER NAME: PHONE' FAX: 2_ L Y -2 ?r?z y6 V 2 OF RECORD: STREET AD RE55: 0 Z_> iUt CITY: STATE: ZIP: t ylc.` BUI ER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: /' PROPERTY NAME: PHONE: FAX: WNER ; O STREET ADDRESS: QTY: STATE. ZIP' LOCATION & PROJECT LOT' SUBDIVISION NAME' / v SECTION: ?G ZONING: 70 INFO: ADDRESS OF CONSTRUCTION: / 6 (7 S SQUARE (? .p? FOOTAGE: , J c,0 SEWER UTILITY PROVIDER: CTR G.I_o WATER UTILITY PROVIDER: L ESTIMATED COST OF CONSTRUCTION: .?_ (EXCLUDING LAND VALUE) ??© Qd NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I MI BPW DOCKET / OR SEPTIC PERMIT #'S (IF APPLICABLE): WELL AND T NUMBERS; TAC DAT j Y E(S); AND/OR COUN ROOD ZONE AREA DESIGNA (S) V j)= Cq 100 029 lJ I TAX MAP PARCEL #: .l Q FOR THIS PROPERTY: A Q TYPE OF CONSTRUCTION: LAY SINGLE FAMILY ? TOWN HOME ? TWO FAMILY # of units being constructed at this time: G RESIDENTIAL(For Additions. Remodels. Etc.) PROIECT INFORMATION: Early Release Permit: Lot Split: TYPE OF IMPROVEMENT: C2-NEW STRUCTURE O ROOM ADDITION(S) O PORCH ADDITION(S) O DECK ADDITION(S) O REMODEL _ Basement Finish only O ACCESSORY BUILDING O DETACHED GARAGE O ATTACHED GARAGE O DEMOLITION nufactured V+ Ma Y _ :,A Trusses: Y Sump Pump: --y _N !?_Y _N PLUMBING CONTRALTO OC\ Plumber's Indiana State Licen Which plumbing codes will be applied to the construction: E)-I[Atemational Residential Code w/Endiana Amendments o Uniform Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) 0 CCRAWLSPACE O POST & _ BEAM -PIER O SLAB Q•-BAWX*(WAL(OUT:_Y_-_-N_) For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this days of the date of issuance of the building permit, and must be completed (Certificate of Oc?y?+ structure permits are subject to the General Administrative Rules of the State of Indiagat(,Nr i' I, the undersigned, agree that any conscrcction, reconstruction, enlargement requested by tnis application will comply with, and conform to, all applicabh 289) and amendments, adopted under authority o I.C. 36-7 et seq. Gene: I A kitchen, bath, and Door drains are connected to the sanitary sewer. I further Occupancyhas been issued by the Department of Community Senices, C commences within 180 issuance date. ClassI uses for beginning and ? QzakFratior. of a 3c; uctere ?o: any change 1n:t".Se use of lane or structures a Ere oEludlana,.and -he "Zoning Ordinance of Carmel Indiana -1993" (Z- of the $tate of Indiana, and all Acts anendatory thereto. I furthei certify that only :hat-the construction wi8 notbe-used or occupied until a Certificate of Law '"*****x***xxxx**x*x***xxx**x*****x***xxx*xxxx**xx*x**xt*xxx****xx***xx***xxx**x** OFFICE USE ONLY: SPECTIONS RE UIRED: Filing Fees: Base Inspections: ?7 .?? # Charged Re- Upper Footm ower Foo ' g Under Slab Reviews Cert. of Occupancy:] a (,Rough I ete Final Services 97