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HomeMy WebLinkAbout07110036 Applicationq City of CarmeUClay Township permit #: ?f I3? RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION ;wmann./' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER OF PHONE: FAX: uL(L ES 57 5-a3sd X JL RECORD: ZIP: STREET ADDRESS: CITY' STATE: D ? 5q 0 n1 MEP S FkP-'-L N BUILDER'S EMAIL ADDRESS: BEST METHOD OF CONTACT: J0AWNE SHEPhEi2p OPUILTE COM EM PROPERTY NAME. PHONE: OWNER : STREET ADDRESS: CITY: u A*OV 7 20(Fr LOCATION & PROJECT L SUBDIVISION NAME: SECT OT #:' `t EPP? C . RUCTI01 INFO: U )eC to rompuance Wei a l rP,GU atIGIiS ADDRESS OF CONSTRUCTION: SQUARE pj- Of State and Local Ddes. I\1 _ r 7t r"?C V lJ L.. FOOTAGE: SEWER UTILITY PROVIDER: CAP-" 6 L ?t WATER Urfl • INt'J1 i E STIh1Q F coNSTRUCIION: I PROVIDER: L' ly L / C ,WCUQIL"M YA4 E) NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION/ BZA / BPW DOCK E??V iJ NA NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): A -1 ?1L`-s d-??OK X C' FLOOD ZONE AREA DESIGNATION(S) j t ) f FOR THIS PROPERTY: ©7 I I `^' TAX MAP PARCEL #: -7 _ 10 -2 2- DO- 2S - 05 ' DQQ TYPE OF CONSTRUCTION: f3""SINGLE FAMILY O TOWN HOME O TWO FAMILY # of units being constructed at this time: ? RESIDENTIAL (For Additions, Remodels. Etc) PROJECT INFORMATION: Early Release Permit: Lot Split: _Y VN _Y ? TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:: CD/NEW STRUCTURE - I (7 }4I14YI -+- ? d I V J O ROOM ADDITION(S) Plumbers Indiana State License #: O PORCH ADDITION(S) ny? {? i ow 10 1 O DECKADDITION(S) l O REMODEL Which plumbing codes will be applied bo the construction: _ Basement Finish only nal Residential Code w/Indiana Amendments I ti t O ACCESSORY BUILDING n erna o O DETACHED GARAGE ^ Uniform Plumbing Code w/Indiana Amendments O ATTACHED GARAGE O DEMOLITION VDATION TYPE: (Check all that apply for the new ruction area) Manufactured Trusses: Y, N O CRAWLSPACE L-- POST & BEAM PIER / Sump Pump: =N N ) ? SLAB -7>/ AASEMENT (WALKOUT:_Y V For 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 dare of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 6T LAC 12) regarding expiration time frames for beginning and completing construction. I, the undersigned., agree that any mnstmcdon, reconscmcdon, enlargement, relocation, or alteration of a seruetnre, or any change ir. the use of land or structures requested by this application wfll comply with, and conforms to, all applicable laws of the State of Indiana, and the "Zoning 0-dinanre of Carmel Indiana -1993" (Z- 2E9)andamendments, adopter under authority a; LC. 36-7 et seq,General Assembly of the State of Indiana, and all Acts a.-nendatory thereto, I furthercenlfy that only Idtchen, bath, and floor drains are connected to the sanitary sewer I further certify that the construction will not be used or occupied until a Certificate of Occu "cyhas been f ued by the Department of Community Services, Carmel, Indiana. -- f /19 0 h 1,ci ? 1.P??RrJt?CSK E P HFQP ? ? 0"1 signal of Dwner or AUthorrs Ageat Print Date )FF?ICE USE ONLY: ****x*x**xxxx*********xxxx******xx***xxx*x*xx****** **********x*x*+******xxxx*xxx Jd Filing Fees: I CTI RED: Base Inspections: ? u Charged Re- Reviews Upper Foots Lower FUnder Slab 5c> Cert. of Occupancy: S:Pemi SIFO n? RESIDENNAL ' PAZ: , J Rou n Meter Bas Final Rev Approv ept. of Commumty Sernces (Date) ,of I ZONING: P. R.I.F.: I 910 f • 00 Additional Fees