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HomeMy WebLinkAbout07100018 ApplicationYO City of Carmel/Clay Tawmship Permit #: O 71 L)OO ?S 'I RESIDENTIAL 11 HROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER OF "A"tE PHONE: i US O FAX: 6(il'-3331 Vil--30GI RECORD; STREET ADDRESS: A LA. -Ic -5vr L- STATE: ZIP: ra BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT: PROPERTY ER NAM &? PHONE: FAX: : OWN STREET ADDRESS: CITY: STATE. ZIP: LOCATION PROJECT LOT k: BDMSION NAME, SECTION: 3? 1 Z X(7C O es-T C ZONING: t{J bl s? (? YY st INFO: ADDRESS OF CONSTRU CN: (? hh ??J/ ??!! ` ? ?j I SQUARE (J C/ nlC FOOTAGE: `(T 6 J G V V 1 ??1 III ) SEWER UTILITY PROVIDER: kcGr3n( WATERITTILITY - PROVIDER: U E A COST OF CONSTRUCTI (CSLUDENG LAND VA. NAME OF UHL17Y EXCAVATION WO TRACTOR; PLAN COMMISSION/ BZA / BPW DOCKET IF APPLICABLE): MIT #'S 4,, ,= I ( c r ^ I? NUM9ERS; TAC DATE(S ( ); AND/OR COUNTY WELL AND/OR SEPRC PER - ' G J FLOOD ZONE AREA DESIGNATION(S) /? jjam?` FOR THIS PRO7ERTY: 971 0© 111 TAX MAP PARCEL ?i r - i L la i nl TYPE OF CONSTRUCTION: SINGLE FAMILY O TOWN HOME D TWO FAMILY # of units being constructed at this time: ? RESIDENTIAL (For Additions, Remodels, Etc.) PROJECT INFORMATION: Early Release Permit: Y _N Lot Split: Y,L/N TYPE OF IMPROVEMENT: NEW STRUCTURE ? ROOM ADDIITON{S) O PORCH ADDITION(S) O DECK ADDITION(S) ? REMODEL _ Basement Finish only ? ACCESSORY BUILDING ? DETACHED GARAGE ? ATTACHED GARAGE ? DEMOLITION Manufactured Trusses: Y N Sump Pump: ZY _N PLUMBING CONTRA J J? Plumbers Indiana State License #? LJU[ 1055 S Which plumbing codes will be applied to the con u ?' Inlnxemotional Residential Code w/Indiana Amendments LUniform Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) D CRAWLSApACCF ? PDST & i BEAN -PIER SLAB II!' BASEMENT (VAIAggtA-Y -ZN ) Far Single Family and Two Family dwellings, additions, remodels, andf or accessory structures, this F days of the date of issuance of the building peraut, and must be completed (Certi6cate of O,1,ce C sttucture permits are subject to the General.Admuvstrative Rules of the State of Indi-BIR - -" completingconstruc{idit aGilO L, the undersigned, agree chat any consmu;iu a, reconstruction, enlarnemen:, relocation, , r ??e4Sdi?n of requested by [his application .gill coxply wi[h, and mnie=vc, all applicable lac?,s of the 5[a[e of Indiana; 239) and amendments, adopted underav?--roriry of LC. 36-7 e: sec, General Assembly of tae Sta --h kitchen, ba[h, sad Si ordrains are connec,ed to the sanitary sever. I further certify that the c s rtreC' OccunancvIas been issuetjkY the Department of Community Services, Carmel, Indiana, ?"? Signature of Owner of Autho ea Agent OFFICE USE ONLY: ***#*******## *#***#** INSPECTIONS REQ RED: Upper Footin over Food Under Rough In eter Base Final Site Fi l 0 '1 t r&tQ Reviewed/Appr : Dept. of Community Sernces (Date) S:Fermits/rorms/1LP RFSIDEatTAL date. ClassI beginning and !(cESafeitei Indian a -1993" (Z- rhereto, Ifutthercertifyrharorly pied until a Certificate of 10 ? ? Date Fees: Inspections: of Occupancy: P.R.I.F.: Fee Received 6x s Charged Re- Reviews Additional Fees -O!y .am