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HomeMy WebLinkAbout07120024 Applicationd0 i d ?x4 City of Carmel/Clay Township Permit: RESIDENTIAL Uv2ROVEMENT LOCATION PERMIT APPLICATION ,? •'i - For Single. Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures ?lxouxF BUILDER NAME: PHONE: E ?iflwno>?d S}cLTGrv?ES 3i7-71G-35 FAX: ?-89? OF RECORD: STREET ADDRESS: D. o, 60yc g( -7 Cn1TY: STATE: gTI S? ZIP: LI 07 BUILDER'S EMAIL A9 !ESS: - LR? l? o? ,net BEST METHOD OF CON-FACT: CECL st- rnV4 L -ar PROPERTY NAME: ?qyne PHONE: FAX: A'bfl' ye; OWNER: \ STREET ADDRESS: STATE: ZIP: m LOCATION LOT A; SUBDIVISION NAME: 61 \/ 090 / j ECIION: p ci T ZONING: & PROJECT I INFO: ADDRESS OF ?j 7P? X663' R - C ?DTAGE- ???. SEWER UnLF1Y + FRGVIDER I n WATER UTILL'IY ` RBWDER 1 , : d,,3 ESTIMATED COST OF CONSTRUCTION ^tIXGWDING'f)1 DVALUES ?p QO SO - : - ,- et / , Q ??? J NAME OF UTILITY D(CAVATION NiNAC70R; P N COMMISSION i BZA / 6PW DOCKET /. / AND/OR COUNTY WELL AND/OR SEPTIC PERMIT o' (IF APPLI ! E : / , / • NUMBERS TAC DATE(S) / A /-/ 1 / t ? / N G / / ; ; ( ? t ? C ? _ '-' / t l / FLOOD ZONE AREA DESIGNATION(S) F R THIS PROPERTY / Aa PARCEL 9: D t? ' I?• I? (I n(j f"? v ?L (I L( : C I PI TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBINn CONTRA O ;? DrC I_ 200 I II I ? IR SINGLE FAMILY ® NEW STRUCTURE rt (lJ 4U U O TOWN HOME O ROOM ADDITION(S) Plumber's Indiana State Li $$e #: O TWO FAMILY O PORCH ADDITION(S) ( Y # of units being O DECK ADDITION(S) 1© 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 O ATTACHED GARAGE Uniform Plumbing Code w/Indiana &Wkndments PROJECT INFORMATION: O DEMOLITION FOUNDATION TYPE: (CheckvjN-tR\?(Sappry for the new Permit: 1/Y-N construction area) ^C?_`s Early Release Manufactured _Y N Trusses: /C 110 CRAWLSPAt?'`?,???t -b&p_ 01 PIER Lot Split: _Y _UN Sump Pump: -Y _N g0Y` Cgq 0(,p {kV CJ YEN ) For Tingle Family and Two Family dwellings, additions. remodels, and/or accessory strut rr3rtis?FMi _2?&Nd ? •'F coppp ?ktibn commenceswithin 180 days of the date of issuance of the building permit, and most be completed (Certifilgpr d 8 rt?inlhAOf the issuance date. CI><s I structure pcnrmtx are sub) ect to the General Administrative Rules of the State of Indiana 5 LAtES?' 2yr{,g edit ty, kpii a_tijo:pme frames for beginning and completing construction. I, the undersigned, agree that any construction, recons^TM•acnon, enlargemeat, relocation, or aitetati?otN ?ryctr f any@§?ge in the use of land or structures requested by this applicatica will comph, with. and confot. to, all applicable laws of the State oil] ryr e'_nning Ckdinance cf Carmel Indiana -1997- (2- 239) and xmcndments, adopted under authority of I.C. 3b?7 et seq. General Assembly of the State c' and a!1 Acts amendatory thereto I hnthcr certify that only latcien, bath, and floor drains are connected to the saiirary sewer. 1 further certify that the cons ion will not be used or occupied until a Certificate of Occu myhas been issued b I e Department of Community Services, Carmel, Indiana Tgo4, A TnvdUnn /a pate Sip ture d Owner or ArrNatae4 Agent Print xx*xxxxxxxxxxxxxxxxxxxxsxxxxx***xxxxxxxxxxz:xxxxxxxxx OFFICE USE ONLY: INSPECTIONS REQU IRED: Upper Faotin er Footing Under Slab ough In eter Base Final Site Reviewed/Apptiaved: Dept. of Community Services (Date) 5:Peerio)Femn0lt RESIDENTIAL l.u`