HomeMy WebLinkAbout06040110 Application
NAME OF UTILITY EXCAVATION CO~~R; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC OATE(S); ANO/OR COUNTY-weu. AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
,'-........'" ,,"
, "-"-'- \J
TYPE OF CONSTRUCTION: "-~"tYPE 6f IMPROVEMENT:
.~ SINGLE FAMILY ~ - 0 ~EW STRUCTURE
o TOWN HOME ~ gROOM ADDmON(S)
o TWO FAMILY 0, r e5 PORCH ADDmON(S)
# of Units:...... IE REMODEL
o MULTI-FAMILY 0- .0 ACCESSORY BUILDING
# of Units: "" iTo DETACHED GARAGE
o RESIDENTIAL (For WI 0 ATTACHED GARAGE
Additions, Remode_~,Etc.)- , 1/-0 DEMOLmON
PROJECT INFORMATiON: a: '01'1
Early Release
Permit:
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
Ilo. PROJECT
INFO:
SEWER UTILITY
PROVIOER:
Lot Split:
City of Carmel/Clay Township ~rmit#/)0'fO/JO
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, Ilo. Accessory Structures
NAME
STREET ADDRESS
BUILDER'S EMAlL ADDRESS
FAX
5
~
STREET ADDRESS
101
LOT # tJ",A SUBDMSION NAME
ADDRESS OF CONSTRUCTION I OJ 5
, j ZIP
,&03
SECTION
ZONING:
SQUARE (,J r -D
FOOTAGE: 1l5l..V
ESTIMATED COST OF CONSTRUCTION: 'J7If\ rv\:'I
(EXClUDING LAND VALUE) 0UU ~
f.meJ
WATER UTILITY
PROVIDER:
N
PLUMBING CONTRACTOR:
&1(/ {'~ (!LV
Plumber's Indiana State t;ense #:
I v!59o
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
N
o POST & BEAM
~ BASEMENT .
WALKOUT:_ y-X-N
For Single FanfilYJlU)d.~0~~~"tWi~. R~~wWJor accessory structures. this permit is valid only if construction commences
within 180 days o(the cIfff ~~~~~GMh'ee b. ~th~:U~:lh'1Y must be completed (Certificate of occupan~. issued .., ,~h ',of the
issuance date. Cla.ss.Utrus.t.1J[~>>J:Fiiu.~a'1e eralAdministrative RUlesofthe~g(2i1! . ". .' . ation
utl-'I Vr- liOMMU jJiqfr~I@@Sngandeompletingeonsr' ., v
I. the undersi~~1(1!m R~leti . ocation. or alteration as crure, or any c ange in the Use of land or
strucrures requested by this applicano 0 ., t. app e laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~289) andamendm d thorityof LC. 36~7 et seq, Ge al Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify tha only kitchen, bath, an oar drains are connected to the sanit sewer. I further certify that the construction will not be
used..::!1ieuPied ~nril . Co 'leare of Decup cy has been issued h~Ol'menr of mm~e2ees. Carmel, Indian..
Signature of 0' er or Authorized Agen Print Date
I
********
INSPECTIONS
Upper Footing Lower Footing
CO~Meter Base
C\"d-.~
P.R,LF,:
Additional Fees
UJJI, J-O
TOTAL:
(Date)
Fee Received by:
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