HomeMy WebLinkAbout06030107-Application
SEWER UTILITY/, D J I I
PROVIOER: L-- T f(. (;Il./ D
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
\jJ.G.~-,
City of Carmel! Clay Township Permit #O{;O.3 0 / tJ 7
RESIDENTIAL IMPROVEMENT L CATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
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STREET ADDRESS_ r:J-J?
I C:.-I!f~
ZIP
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BUILDER'S EMAIL ADDRESS I I /.:'\ d L J/. BEST METHOD OF CONTACT:
aatJ!'el \yI ID/('/~"I),CO"'"
FAX
o
ZlY03
WATER UTILITY
PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
r)( SINGLE FAMILY
B TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
TYPE OF IMPROVEMENT:
",'ii:l NEW STRUCTURE
~E'!t~~l:J;otla;) Plumber's In a' I
4PiPCP~DDJrIOOM!STnl I 0
O =~ ,"lIiM"s W'" u
'0'1- L ,- fIn ~
D8EJr - ORlltJllUllifl!f'Jedl re~i6\'l!fbing codes will be applied to the construction:
CI7YCP,~'1#. !.fM,~ OSd:~" Intem~tionaI Residential Code wI Indiana Amendments
. 'l:f' A=f;MltffflpIGA~ ,E. r'=:. j
o DEMOL}TIP1IAL: Tv 'f 1"0 _rm Plumbing Code wllndiana Amendments
IV "A WN.~~m'IY Construct,on Code)
IV ...nn:-
FOUNDATION TYPE: (Check all that apply for the new
construction area)
J Manufactured
_Y ~N Trusses: _Y LN
" 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump: Ly _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y
N
o
~
POST & BEAM
BASEMENT
, 'WALKOLrr:_ Y LN
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 [0 the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a strucrure, or any change in the use of land or
structures 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) and amendments, adopted under authority of r.c. 36/7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used upied til rtific of Occupancy has been issued by the Department of Community Services. Carmel, Indiana.
TJ,.p/d .B. J/4/.,J 3 -Jf7-06
~ Date
OFFICE USE ONLY: ************************************************************************
Filing Fees: 1! f. '1(}
PECTIONS REQUIRED: J.
, Base Inspections: :J (9 '7 ) a # Charged Re-
, ReVIews
S"/. 5'0
P.R.I.F.: /' 1.2 (., I dO
/' '.
~~L: ~~~' Po
Fee Rece,vedby: ~
Cert. of Occupancy:
Site
Additional Fees
Reviewed/Approved: Dept. of Community Services
S:PermitsjForms/IlP RESIDENTIAL
(Date)