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HomeMy WebLinkAbout07100083 ApplicationPermit #: (Q 1000 -6 City of Carmel/Clay Township RESIDENTIAL IMPROVEMENT L CATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER OF NAME: 7 SI W?? ? 12 L lO POONE: VI IL J V -16 3 ,2 [? FAX: RECORD: STREET ADDRESS: CITY: ?FJ. Z)6WSV/1?,lf STATE: -mil ZIP: y697 BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: PROPERTY NAME: PHONE: F1 q e C FAX: OWNER: . _ STREET ADDRESS: CrrY: STATE: ZIP: LOCATION LOT #: SUBDIVISION NAME: W I Q s2 GAVE1 1 ? SECTION: t ZONING: r J I & PROJECT INFO: ' ( ? ADDRESS (0 ?/ 3(1 U? { ? ?'"(j6LLJ t4DkSi5 &ff,V[E SQUARE n FOOTAGE: SEWER UTILITY PROVIDER: CLAIt , aiA Wp,- rt C=y?R R VO ?+unnvrt ? (EXCLUDED COST VALUE) RU .t (1 1 6 )a ?a rn NAME OF UTILITY EXCAVATION CONTRACTOR; ?q %9 R M Wk r7g pLiCABLEa A ? t Qf(f6 TAC DATE(S) AND/OR C I LYhN j?SEPFIt/%Rh NUMBERS C flsTl= ; ; c , ? i1 r- n WT , FLOOD ZONE AREA DESIGNAT101O7'?/ /l5 CA ` ? iC WY FOR THIS IS PROPERTY: Y lTAX MA r ARCE?? - O ? _ ©I fo Goa , TYPE O CONSTRUCTION: SINGLE FAMILY O TOWN HOME ? TWO FAMILY # of units being constructed at this time: O RESIDENTIAL(For Additions. Remodels. Etc.) PROTECT INFORMATION: Early Release permit: Y __j/ N Lot Split: Y ZN TYPE OFI AMS46MENT: 2r NEW STRUCTURE O ROOM ADDITION(S) O PORCH ADDITION(S) O DECKADDLTION(S) O REMODEL _ Basement Finish only O ACCESSORY BUILDING O DETACHED GARAGE O ATTACHED GARAGE O DEMOLITION Manufactured Trusses: Sump Pump: _Y ?ZN L/Y N ?AO(_ 1, cStil(Tt-1 Indiana State License OCT 2 2' 2007 Lal??? Which plumbing codes will be applied to the construction: O? International Residential Code w/Indiana Amendments Cia nlfOlm Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) E3-'POST & _kt? BEAM. PIER MENT (WALKOUT:_z_N ) For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if constmccion commences within 160 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within i8 months of the issuance date. Class 1 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. I, the undersigned, agree that any construction, reconstruction, enlargemenr. relocation, or alteration of a structure, or any charge in the use of land or stnuctures requested by this application will comply with, and conform :o, all applicable laws of the State of Indiana, and the 'Zoning Ordinance of Carmel Indiana -1993' (Z- 289) and amendments, adooted under autho_ity of l.C. 36-7 et seq, General cooly of the State of Indiana, and all Acts amendatory :hereto. I further certify that only kitchen, bath, and floor dins are connected to the saaitary sewer. I further c tdy that the construction will not be used or occupied until a Cerd,6cate of OccupajrCy has been issued by the Department ofEomgtuniry SemW, Ffac .1. Indiana, or Authorized Agent OFFICE USE ONLY:******************* INSPECTIONS Site s:>amnts/rwms/[tP of Community Services q Fee ReceNed by: =64,f ?V /Z ? Date Filing Fees: eZ S/? Base Inspections: yr7 . ?Q # Charged Re- Cert. of Occupancy; T. S-0 Reviews