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HomeMy WebLinkAbout07110005 ApplicationPermit #: W0-5 a City of Carmel /Clay Township RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION rxoiap?% For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER OF NMIE NDEQ G c/ PHO E: 71 /7 - $G7 - O 0 FAX:SI-7- '36_2 RECORD: STREET ADDRESS: CITY: STATE: ZIP: %0 L ( I S, NloA1 ? yy(U-I BUILDER'S EMAIL ADDRESS: BEST METHjj?1AF CON,TACi: C? S/? - q?G- S ,f F -MAIL PRdPERTIr OWNER: NAM : "STEWIV7- PHONE: LLC 3l - - 0 FAX: Si -SG7- STREETADDRESS: Crry: STATE: S W ZIP: U yl S61 AJIQA> E 77 p LOCATION LOTS: SUBDIVISION NAME: V SECTION: -7A I ^ZONING., '? & PROJECT F / //ONOA o? - INFO: ADDRESS OF CONSTRUCTION: / 1) -k SQUARE TAG -A/ e-olle 7q 6 SEWER UTILITY ' n WATER UTILITY ESTIMATED COST OF CONSTRUCTIO EXCLUDING LAND VALUE) PROVIDER: l PROVIDER: iy / ( - NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET ' S (IF APPLICABLE): 06 NUMBERS; TAC DATE(5); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # AX f FLOOD ZONE AREA DE SIGNA O v AX MAP PARCEL C: T L t 4 FOR THIS PROPERTY:. '/L` ')I TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR: PI? - X SINGLE FAMILY X NEW STRUCTURE K. V. M 17fTrJ/N / O TOWN HOME O ROOM ADDITION(S) Q,}. Plumbers Indiana State License - - -- ---• ' ? TWO FAMILY O PORCH ADDITION(S) IF ^ ^? # of units being O DECK ADDITION(S) ' ".;1 c? a( at)0 constructed at this O REMODEL , Which plumbing codes will be applied to the construction: time: _ Basement Finish only O RESIDENTIAL (For O ACCESSORY BUILDING O International Residential Code w/Indiana Amendments Additions, Remodels. Etc.) O DETACHED GARAGE 09 O ATTACHED GARAGE Uniform Plumbing Code w/Indiana Amendments PROJECT INFORMATION: O DEMOLITION FOUNDATION TYPE: (Check all that apply for the new Early Release /?/ Manufactured / construction area) Permit: Y -NN Trusses: ? YEN O CRAWLSPACE POST & _ BEAM -PIER Lo[ Split: _Y ?N Sump Pump: ZY-N 0 Slp,g ,C qq? (WALKOUT:_Y?! n ) For Single Family and Two Family dwellings, additions, remodels, and/or accessary structures ts?'rge ndLTids i e ' n commences within I8o days of the daze of issuance of the building permit, and must be completed (certificate o 0- ancyis3'?''tegqtf ?' , t n e issuance date. Class I structure permits are subject to the General Administrative Rules of the State of In a?75'Le J23A une frames for beginning and coutpletin nornq (t " '( 1, the underrsigned, agree that any construction, reconstnrction, enlargement, r 99??pt?CCL -tra'roc a st r change ir, the use of land or structures requested by this application till complywith, and con(ar:nto, all applicable lawF$[a®?ifia?}ioiiYSS[h1"ATn' gOrdinance o(Cztmel Indiana-I9i3'(Z- 289)and amendments, adopted under authority o: I.C. 36-7et seq, General Assem yofth,,e?S{ tyttnn??r'gf ttzrd fa`?M}_}t ndator}•the:eto. /further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify t C' ot,TgUtrDJ used cr occupied until a Certificate of Occupancphas been issueol b the Department of Community Services, C armel f( s"pure owneror Auth ed Agent Print Date OFFICE USE ONLY: ***x***x***x**x*xxx*xxx**********x**xx***************************sxx**x******x* INSPECTIONS REQUIRED: Filing Fees: pSry?' I i - - Base Inspections: # Charged Re- per FootT wer Footing Under Slab Reviews Celt. of Occupancy: 5, S Rough Meter Bas Final 'Site ' n P.R.I.F.: a 6ir o" Additional Fees ? ?t,l rr1 tip s ReviewedJAp ro ed: Dept. of Community Services (Date) S:Permits/FO sjhP FESIDENRAL Fee by: TOTAL: