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07110103 Application
°'?` • City of Carmel/Clay Township Permit: 7LI0103 I, RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION NO 4?p" For Single Family, Town Home, & Two FamiI : N w Structures, dditions, Remodels, & Accessory Structures BUILDER NAME: PH NE: iGCv 14'S Ce-4 FAX: I IV-- RECORD: STREITA SS: ^?-T T CITY: STATE: ZIP: BUILDER'S EMAIL ADDRESS: OD OF ?ONTACT: -97 If' /?! g PROPERTY NAME 1 ?4 f e? PHONE: PAX:. l U OWNER: 7 1 qll : . 71 STREET ADDRESS: CITY, i ?? •.., ::STATE: ?".-s.i LP:•r••J: IAfV 11 , 0 3 LOCATION L T 5: SUBDIVISION NAM V- ` SEMON: ZONI G: J 21PX c & PROJECT , INFO: ADDRESS OF CONSTRU ON: />?U L41F%'q' _ SQUARE FOOTAGE: t SEWER UTRITY WATER Lm STIMATED COST OF CONSTRUCTION: ' - PROVIDER: PROVIDER: (arhf, (EXCLUDING LAND VALUE) UP NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION, BZA/ BPW DOCKET NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/0R SEPTIC PERMIT #'S (IF APPLICABLE): FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL FOR THIS PROPERTY: ©d TYPE OF CONST UCTIO TYPE OF IMPROVEMENT: SINGLE FAMILY ,{O?h? r NEW STRUCTURE O TOWN HOME Ir O TWO FAMILY O ROOM ADDITION(S) PORCH ADDITION(S) # of units bet DECK ADDITION(S) constructed at is =REMODEL time. _ Basement Finish only O RESIDENTIAL (For O ACCESSORY BUILDING Additions, Remodels. Etc.l O DETACHED GARAGE O ATTACHED GARAGE PROJECT INFORMATION: D DEMOLITION Early Release Manufactured Permit: _Y N Trusses: _Y Lot Split ?ON Sump Pump: _Y PLUMBING CONT6940R: CD International Residential Code w/Indiana Amendments O Uniform Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) ? CRAWLSPACE POST & B -PIER Q SLAB a BASEMENT (WALKOUT:_YN ) For Single Family and Two Family dwellings, additions, remodels, and,1 4 accessory structures, this permitis 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 IS 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 construction, reconstruction, enlargement, relocation, u: alteration of a arecrure, or any charge in the use o`. land or structures requested by this application will comply with, and confoan to, all apphca"nle law. of -he State of Indiana, and the'-?oning Ordnance of Carmel Indiana- 1993- (2- 289) and amendments, adopted under authority of LC. 35-7 et set, General Assembly o: the State of Indiana, and all Acts amendatory thereto. 1 further certil}y that only kitchen, bath, and poor dins area nrectted to Ike sanitary sewer. 1 further certify that the construction will pot be used or occupied until a Certificate of Occupancvhas been iss dbyt DYY''' m ommunfty Services,Cannel,Indiana. -r 9 r Print I J /- f, Date ##XXXX##X####XX###XX##XXX###X#X##X#?#####X##*####XXXX## Filing Fees: Base Inspections: 17A 50 CRevieews Cert. of Occupancy: )n OFFICE USE ONLY: INSP CTIONS REQUIRED: Upper Footing"Lower Footing Under Slab Rough In Meter Base Final Si x/-07 ep.. o Community Services (Date) Revie S: Faasl:LP RE :'CL W"M Whirl, plumbing codes will be applied to the construction: P.R.I.F.: Additional Fees