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07110113 Application
Permit #: City of Carmel /Clay Township RESIDENTIAL P"ROVEMENT LOCATION PERMIT APPLICATION xauau / For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER OF NAME' PHONE: PU?l ?11} 5 E) -7 FAX: `x-360 to RECORD: STREETADDRESS: CITY: g c)N rn i t ST STATE: ZIP: 2.m ADDRESS: BUILDER'S EMAIL , bn A I I PROPERTY NAME' PHONE: ?QV 2 1 1 209 OWNER : U Y. 'EAP9t3 FOR t STATE: P. STRUCTION ' 8y Sub ect to c r . LOCATION LOT #: of Sate asuBD r C7L? L(r D SECTION: ? v 10ryuJG? I - & PROJECT INFO: L /yam s IWD& "' v °? WNSHIP SQUARE Z(l n v, 2 1n,/ V FOOTAGE: I tl SEWER UTILITY PROVIDER: i WATER UTILITY PROVIDER: vl ? ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) I I (,59 I L{.m i I NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET OR SEPTIC PERMIT 9'S (IF APPUCABLE): L AND E , VSI OT -1, 946 19U) C' I /? / L NUMBERS; TAC DATE(S); AND/OR COUNTY W A , EP t ? -- ROOD ZONE AREA DESIGNATION(S) O7' 1 O 4 FOR TN IS PROPERTY: ?- ?- TAX MAP PAj2 C 3 ©3 03 _ 0?1 Y (vy ) NI . 1 . TYPE OF CONSTRUCTION: O SINGLE FAMILY TOWN HOME O TWO FAMILY # of units being constructed at this time: ? RESIDENTIAL (For Additions, Remodels. Etc.) PROJECT INFORMATION: Early Release Permit: Y t/ Lot Split: _Y " TYPE OF IMPROVEMENT: CiyNEw STRUCTURE ? ROOM ADDITION(S) O PORCHADDITION(S) O DECK ADDITION(S) ? REMODEL _ Basement Finish only O ACCESSORY BUILDIN' O DETACHED GARAGE ? ATTACHED GARAGE O DEMOLITION Manufactured Trusses: ?Y _N Sump Pump: Y ?N PLUMBING CONTRACTOR: Plumbe s Indiana State License #: 0,Piiouc) i o ? Which plumbing codes will be applied to the construction: Q?international Residential Code w/Indiana Amendments D Uniform Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) 0 CRAWLSPACE O POST & _ BEAM -PIER C?t SLAB O BASEMENT (WALKOUT:_Y_N ) 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 date of issuance of the building permit, and must he 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 675 LAC 12) regarding expiration time frames for beginning and completing construction. 1, the undersigned, agree that any constructior, reconstruction, enlargement, relocation, or alteration of a stricture, o, any change in the use of land or structures requested by this application will comply with, and conform to, all applicable laws of the Sale of Indiana, and :he "Zoning Ordinance of Carmel Indiana -1993" (2- 239) zrd amendmen:s, adopted under authority of I.C. 36-7 et sec, General Assembly of the State or Indiana, and all Acts amendatory thereto. i further certify that only kitchen, Sash, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Cerdficsre of -7 Occapaneyhas been issued by the Departure t of Community Senlme ' Carmel, Indiana l n / Al ? Ii \dGAA_)&JC- SiB Dwnw w Authorized an Prim Date zxxzzzxx***xx*x**xxx***zxxxzxzz***x*xx*zz*xx*xxx***z*x:******z*x**xx**zzzxzzxx*** OFFICE USE ONLY: INSPECTIONS REQUIRED: Fling Fees: Base Inspections: Charged Re- pper Foot' Lower Footin nder 51 Reviews Cert. of Occupancy: Sn oug In eter B final SiSGA NF. D ia,I ; 00 Additional Fees (r ?? lA TOT L: _ rued: Dept. ? ommuniry Services (Date) V / 11 d8(I?: RESIDEtrrTAt Fee Recei d bV Date