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HomeMy WebLinkAbout07110108 ApplicationPermitik: l0/0 City of Carmel/Clay Township RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION \ of - ,,palpµ„' For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures BUILDER OF NAME:.1 z ? cl-GD PHONE: .2 59T 11,21 FAX: 1 5V 3 9 RECORD: }7REET ADDRESS: l STATE: ` ? / P: c D 3? 2 l : J e? / BUILDER'S EMAIL ADDR 55: BEST METHOD OF CONTACT: /,9A -h e ems- L r. ei- . 4-? - , a T PROPERTY NAME: ASED FO i;tions OWNER: J i to a T E, STREET ADDRESS: a , ?. •. CITY: of St:-" .? _5t TE ?? r.ERVIC qj ? `'COPn4Jl "' ` , ? 3 :Z la ?. N LOCATION LOT SUBDIVISION NAME: CITY OF CAR INDIANA ZONING: S' & PROJECT E r :) INFO: ADDRESS OF CON CRON: (2 L-.,; SQUARE FOOTAGE: l/? SEWER UTILITY 0 WATER UTILITY PROVIDER ESTIMATED COST OF (EXCLUDING LAND V SU O Q PROVIDER: : © NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; TAC DA TE(S); AND/OR COUNTY WELL AND(OR SEPTIC PERMIT #'S (IF APPLICABLE): NO q 7 1 V 2 ZOO7 ! FLOOD ZONE AREA DESIGNATION(S) TAX MAP PAR L #: FOR THIS PROPER TY: By TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: O SINGLE FAMILY O TOWN HOME O O TWO FAMILY \ ad # of units being 0,?j O constructed at this ? time: 57r RESIDENTIAL (For -0 Additions. Remodels. Etc.) O r. PROJECT INFORMATION: NEW STRUCTURE ROOM ADDITION(S) PORCH ADDITION(S) DECK ADDITION (S) REMODEL _ Basement Finish only ACCESSORY BUILDING DETACHED GARAGE ATTACHED GARAGE DEMOLITION Early Release anufactvred Permit: Y N Trusses: Lot Split: Y Sump Pump: J/ __Y Y N PLUMBING CONTRACTOR: Plumber's Indiana State License #: Which plumbing codes will be applied to the construction: O International Residential Code w/Indiana Amendments O Uniform Plumbing Code w/Indiana Amendments FOUNDATION TYPE: (Check all that apply for the new construction area) O CRAWLSPACE ? POST&BEAM-PIER BASEMENT (VJALKOUT:_Y_N ) For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 160 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 11 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regardingexpiration time frames for beginning and completing construction. I, the undersigned, agree that anv consrruc:ion, reconstruction, enlargement, relocation, or alteration of a structure, or any change Li the use of land or structure requested'ay this application will comply with, and conform tn, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana-1993- (7-- 269) and amendments, adopted mderauthonry of I.C. 36.7 et _<ao, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only kitchen, bah, aid door drains are connected to the sanitary sewer. 1 further certify that the construction will not be used or occupied until a Certificate of Occupancyhas been issued by the Department of Community Services, Cannel, Indiana. Slanature olD!Fftrnv or Authorised Agent Print IN OFFICE USE ONLY: ++----....,.,.________..____ INSPECTIONS REQUIRED: Filing Fees: Base Inspections: ?l s A Charged Re Upper Footing Lower Footing Under Slab Reviews Cert. of Occupancy: ?? S v ough I Meter Base nal Si P.R.I.F.: Additional Fees . ??/ AL: 3 0 (V R /Approv Dept. of Community Services (Date) S:Parnlts/FOnnS/Il? RESIDEtmAL Fee Received bY: at