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HomeMy WebLinkAbout07120025 Application?,xalanai City of Carmel/Clay Township Permit 9: P '2'&OOJS RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION For Single Family, Town Home, & Two Family: New structures, Additions, Remodels, & Accessory Structures BUILDER PHONE: NunF k" 3f7-Sv6 -0 t 6 FAX 3?7'37? $7 OF ;eo7er? e'lli '1 RECORD: STREET ADDRESS: 0171' STATE: ZIP: yG z l 7? S.. eM ort - _Zit I BUILDER'S EMAIL ADDRESS: a , of ?a,? BEST METHOD OF CONTACT: h??I ,_ „ g PROPERTY OWNER: PHONE: ?2 S ru vt5 I:f U 7 FAX: STREET ADDRESS: STATE: ZIP: LOCATION LOT": SUBbINSION NAME; SECTION: ZONING: & PROJECT 2- INFO: ADDRESSOF CONSTRUC ION: / SQUARE ,G ZJ? FOOTAGE: i SEWER UTILITY PROVIDER: ]I?. L Iy,M1g1 WATER UTILITY PROVIDER: `a-,{-?j lr)? ESTIMATED COST OF CONSTRUCTION: (EXCLUDING LAND VALUE) '"?+V (]Q EXCAVATION CONTRACTOR; PLAN COMMISSION / 137A / BPW DOCKET NAME OF UTILITY NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ANDIOR SEPTIC PERMIT es gr APPLICABLE): f? >~ .. ROOD ZONE AREA DEAGNATION(S) TAR MAP PARCEL ? 9 LC l3 u `-' FOR THIS PROPERTY: i TYPE OF CONSTRUCTION: ? SINGLE FAMILY O TOWN HOME 0 TWO FAMILY # of units being constructed at this time: ? RESIDENTIAL (For Additions, Remodels. Etc.) PROJECT INFORMATION: TYPE OF IMPROVEMENT; ? L7 O E) O ? a O NEW STRUCTURE ROOM ADDITION(S) PORCH AD ION(S) DECK A ITFON(S) REM EL _ Basement Finish only ACCESSORY BUILDING DETACHED GARAGE ATTACHED GARAGE DEMOLrTION Early Release / Manufactured Permit y `'N Trusses: Y Lot Split: _Y Sump Pump: Y PLUMBING CONTRACT DEC - {}. ? aSr?? t7llcpc (mil PI mbel's Indiana State MAns P- C` 5-2- 3;? 6 a -a- Which plumbing codes will be applied to the construction: © Intemational Residential Code w/ Indiana Amendments ,0<,Unifarm Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) O CRAWLSPACE a POST & _ BEAM -PIER Q SLAB ? BASEMENT(WALKOUT:_Y N ) For Single Familv and Tyro Family dwellings, additions, remodels, andlar accessory structures, this permit is wlid only if construction commences within 190 da}? of the date of issuance of the building permit, and must be completed (Certificate of Oecupancy issued) within 18 months of the issuance date. Class 1' structure permits are subject to the General Administrative Rules of the State of Indiana (See 673 LAC 12) regarding expiration time frames for begutnurg and. completing construction. 1, the undersigned,agn•e that any cc rs[racoon,reconsr-uction,enlargement, relocation, or a![eration o=a sEnir orany change- in theuse ofhind o- structures requested b}: this application vaH comply with, and conform to, all applicable taws of the Stare of Indiana, and-tike -Zoning Ordinance of Ccrmel indiara - 3953" (Z- 'e'md all flees amendatory therein. Ifurthercertify that only 239)anda,im dratnrs, adopted under authority of LC. 36-7 et wq, 6meral.Assemblyofthe Slate ofIndia. kftehen, bath, and 17oor drains are eonaec[ed m [;?e sanitzry sewer. I bu:thercertify that the construct n will not be nsed or oc upied until a Ceitificate of Occupancyhas been issued by the Depuvnen?)fyyytnnirunity Services, Carmel, Indiana ss``-- L -o- °'?-.?-I __ ? ? ? Date 1 OFFICE USE ONLY: *xxxxxx***xzxxzs:xzxxxxxssssxsxxxxxx INSPECTIONS REQUIRED: Upper Footing Lower Footing Under Si In Meter Base nal 5 ZL Revew/Approept- of Community Services (Date) S:Fennit5l rOrn511! ? REMENT'Y.L Filing Fees: Base Inspections: Cert. of Occupancy: txxxxx::::xxxxx?,??::..*x.****?** % 3o S G? # Charged Re- ReviewS P.R.I.F.: Additional Fees