HomeMy WebLinkAbout06040096 Application
G, . ~~~
UJ ~ Permit #CicD4Ddl b
NT LOCATION PERMIT APPLICATION
ily: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
&. PROJECT
INFO:
SEWER UTILITY WATER UTILITY 17 /1. I _ ~ " 11
PROVIDER: PROVIDER: Cf..1Iz..J r u.-c
NAME OF UTILITY O:CAVATlQN CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
FAX
STATE
ZIP
PHONE
FAX
CITY
Plum er's Indi na State License #:
/O/),()){)S1
Which plumbing codes will be applied to the construction:
jXJ International Residential Code wI Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release X. Manufactured X
Permit: Y N Trusses: Y N
. -.J II - 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _ Y --,l'-N Sump pum~ ...L::.... Y _N 0 SLAB ~ BASEMENT
Does any part of the property lie within a !Ir.~ d designation area: _ Y ~ WALKOUT:_ Y ~N
For Single Family and Two Family dwellings, ~dditions, rf.?tl:at~~ a~€)-A)Ccessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the'b~~~W~b'e ~lf.ted (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are s~'"O'tfl "..eE~1ui~i{fGoetU;~.~;g~ the State of Indiana (See 675 lAC 12) regarding expiration
ti:tey,@):" 'l!!r~15n~Itr('.l:F-61Hpl~;}'5 sian.
I, the undersigned, agree that any construction, reconstructi~1 FilofMlcer.rr mo. ~ruc[ure, or any change in the use of land or
structures requested by this application will comply with, and c~~f6! ."tpW~e l~ rl.f~of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~289) and amendments, adopted under authOrIty . '~sl;q;C~~Assembly~f the State of Indiana, and all Acts amendatory
thereto. I further certify thot only kitchen, bath, and floor drains are c ~QO{t'o1f,y>~. a.fry. !(.. .~~..l I: f;urther certify that the construction will not be
used or occupied until Q:<ificate of o~;ncy has been iSSUJ~;;~~;J l/i1.;; a;)S, Carmel, Iodiaoa 4- 1)- 0&
Print Date
OFFICEUSEONLY:************************************************************************
Filing Fees: r; J 3. b 0
ECTIONS REQUIRED: 7/]~. ,--11
Base Inspections: ~, ,. L U
S3. :'0
Cert. of Occupancy: - ~
$5~7,OO
P.R.I.F,:
Reviewed/Approved: Dept. of Community Services (Date)
S:PermitsjForms/ILP RESIDENTIAL
FOUNDATION TYPE: (Check all that apply for the new
construction area)
# Charged Re.
Reviews
Additional Fees