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HomeMy WebLinkAbout07120033 Application:O??At?33 City of Carmel/Clay Township Permit # ?. RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION -JMe1RNP For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER OF N %LTE PHONE: ES 57 5 -a35o X J07 FAX: RECORD: J ID(? I i sf\I CITY: ATE: C APfy6L, ?nI J T I I? I D(A S ZIP: ?(OO3.)_ ^ f1D ; ] ? { ? I ?.?D METH00 t, S? l1LFSJt? i L(.`(E.??0FCOEMkIL? 1' 1 PROPERTY NAME' 1 1 [i V_ PHONE: FAX: OWNER : STREET ADDRESS: CITY: STATE: ZIP: LOCATION PROJECT LOT # 2 SUBDIVISION NAME: _ 'IS-] Q Cp " S A ZONING: & INFO: ADDRESS OF CONSTRUCTION: ES-ML ?l -tI`J-J Il L FOSQUARE OTAGE 15 1 SEWER ER ? . POD ERUTILITY : J ? 1 ! j. ( COST OF VAL?STRUCTION: I L4 1, W-y PROVID - - DOCKET ,t NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / VA / BPPW DR SEPTIC PERMIT #'S (IF APPLICABLE): H J '? 1G L AND l NUMBERS; TAC DATE(S); AND/OR COUNTY W - EL / .? FLOOD ZONE AREA DESIGNATION(S) 1 i FOR THIS PROPERTY v 't TAX MAP PARCEL #: - 0- Z2-00- - ?I 2 /'Y /? o00 Lo - 033 : n l{ I 7 , TYPE OF CONSTRUCTION: TYPES OF IMPROVEMENT: PLUMBING CONTRACTOR: d 1 C3iSINGLE FAMILY R" NEW STRUCTURE rvj q-' I O TOWN HOME ? ROOM ADDITION(S) Plumber' Indiana State License 7' O TWO FAMILY n PORCH ADDITION(S) II 10 (??o 1 N S GEC - 7 2007 # of units being ( ) : DECK ADDITIO Constructed at this time: D REMODEL Which plumbing codes will be applie _ Basement Finish only 4`1 to the construction: 8' _ ? RESIDENTIAL (For G ACCESSORY BUILDING 4y Jr?t?' 046 sldential Co Additions, Remodels, Etc.) O DETACHED GAR Ci ? ???,tat!0{{115 r ATTA F? ry1(fc?vrumeing Code w/Indiana Amendments O DEMO „omptid, es. PROJECT INFORMATION: SU t to ? LOC an02pE: (Check all that apply for the new of State and k I°nN? t' Early Release Manufactured p`1 MMUN1 r? N w Permiti Y N Trusses: D?pF XME)- I Cit-'y U CRAWLSPACEE 0 POST &_ BEAM -PIER Lot Split: Y ?IQ Sump Pump61T+E& CC 1Np(p i1A Q SLAB ? 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 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 675 IAC IZ) regarding expiration time frames for beginning and completing construction. I, the undersigned, agree that anv construction, reconstruction, enlargement, relxation, or alteneon of a structure, or any charge in the use of land or strrctu res requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z- 289) aid amendments, adopted under authority of I C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 further cen;fy that only kitchen, bath, and floor drains are cor nected to the sanitary sewer. I further certify that the construction will not be used or occupied until a CeraBcate of Occu cyluts been issued by the Departm t of Community Services, Carmel, Indiana. ?1©/?fJNE SHt?E20 ZIP ?1 ?$lo?utu of Owner or Authl eal gent Print Date IFPICE USE ONLY: x****x****xxxx**xxx**xx*********xxx***xx******x****xx* * R*x ?Yxxx**xx******x**x Filing Fees: PECTIONS REQUIRED: Base Inspections: ?D 7 sU # Charged Re- _ Reviews Cert. of Occupancy: P.R.LF.; /rX - oQ Additional Fees L C ATAI t ?i ? / / ?? /D Fee S:PerrNts/FO 5!1U` RESIDENTWL