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HomeMy WebLinkAbout07110026 Application? o, c AM1 City of Carmel/Clay Township Permit #: 0 RESIDENTIAL RVIPROVEMENT LOCATION PERMrr APPLICATION For Single Family, Multi-Family, &TW G Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER Of PHONE /IY?ME FAX RECORD ' I ` : STREETADORESS CTTS' STATE ZIP tLr 4rap8Z B ER'S EMAIL ADDRESS l ca a Q a& . f? BEST METHOD OF CONTA : A a L PROPERTY NAME PHONE ` FAX OWNER: -?i 5TREETADORESS CITY Y+C? 57ATE ZIP LOCATION LO? # SU MSlON NAME ot 1 f ?SECTION , ZONING: & PROJECT i 1 INFO: ADDRESS OF CONSTRUCTION LL t/ O_ UW ? L4 S2__ + 5 r SQUARE FOOTAGE: 1 SEWER llTT WATER UTILITY r m f ESTIMATED COST OF CONSTRUCTION: PROVIDER: I PR D (EXCLUDING LANG VALUE) i NAME OF UTILITY EXCAVATION CONTRA ; PLAN 00' h1IssI0N J BZA / BPw DOCKET CeR? I NUMBERS; TAC DATE(S); ANDIOR COUNTY WELL AND/OR SEPTIC PERMrT,; S (IF APPLICABLE); TYPE OF N PLUMBING CONTRACTOR Irr L tl C? OFIMPROVEMENT: SINGLE F L°P L U` i QLL ? ?y?? J ? TOWN H NEW STRUCTURE ? TWO FAM NO V 5 20fl7 lL??; ROOM ADDITION(S) Plumber's Indiana State License PORCH ADDITION(S) 1 # of um D REMODEL ? MULTI-F ILY ACCESSORY BUILDING Which plumbing codeswill beapplied tnthe construction: iY of Uni . y Q DETACHED GARAGE ya International Residential Code w/Indiana Amendments ? RESIDENTIAL (For ? ATTACHED GARAGE Additions, Remodels, Etc.) ? DEMOLITION © Uniform Plumbing Codew/Indiana Amendments PROJECT INFORMATION: (Multi-Family Construction Code) Early Release Manufactured AI FOUNDATION TYPE: (Check all that apply for the new Permit YN Trusses: _Y V N construction area) Lot Split: _Y _VN Sump Pump: Y _N ? CRAWLSPACE D POST & BEAM SLAB CO BASEMENT Does any part of the property lie within a special Flood designation area: _Y _C N WALKOUT:-Y N Far 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 must be completed (Certificate of Occupancy issued) within 16 months of the issuance date. Class I structure permits are subject to the General Adminisaari%T Rules of the State of Indiana (See 675IAC 12) regarding expiration time frames for beginning and completing construction. 1, the undersigned; agree thar any canstrucnon, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures regnested.by this application will comply with, and conform Lo, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1493" (Z-289) and amendments, zdopted under authority of I.C. 36-7 et seq, Gererd Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bath and ftoer drains are connected to the sanitary sewer. I Further certify that the construction will not be used oro ed a Certrffrare of°ac y has been issued by the Department of Community Services, Carrnel, Indiana. re of Owner or Authorized Agent Print Date OFFICE USE ONLY:************************* INSPECTIONS MQUISED: p r Foot' ower Fac&nf Under Slab ugh eter Base nab Filing Fees: Base Inspections: Cert. of Occupancy: # Charged Re- Reviews Reviewed/ Dept pity Services (Date) S:Pena@sr RESTDRMAL P.R.I.F.: / -v (P `- Ob Additional Fees