HomeMy WebLinkAbout06070077 Application
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ty of Carmel/Clay Township C0 ~J'i Permit #: oraQ '/(0 '77
illSIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
lor Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
SQUARE
FOOTAGE: 5 5
SEWER UTILITY ,11\ E L q.; ESTIMATED COST OF CON5JJUClJON:
PROVIDER:C. '(EXClUDlNGLANDVALUE)!/1'1/ =0. , ", --.------
'1 _ j, . 0( r ~ - .. I n r; r-:-l' --- I
NAME OF UTILITY EXCAVATION CONTRACTOR; PlAN CoMMISSION (SZA7BPWDOCKEf J Ii/ i !) - .::__::o:-~_-'=":~ \";' /,,-0; Ii' \ i
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE): J - T: i :' --III j i
TYPEpFCONSTRUCTlON: TY;{P OF IMPROVEMENT: PLUMBINGCONTRAdfbli! JUL 1 7 2006 [!)I
rJ!f SINGLE FAMILY S' 'U lJ
NEW STRUCTURE
o TOWN HOME 0 ROOM ADDmON(S) Plumber's Indiana Sta
o TWO FAMILY 0 PORCH ADDmON(S)
# of units: 0 REMODEL
o MULTI-FAMILY 0 ACCESSORY BUILDING
# of Units: 0 DETACHED GARAGE
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLmON
{ of NAME
J:
,.>PERTY
NNER:
aDD
LOCATION
& PROJECT
INFO:
FAX
(
01Y
1
STATE
ZIP
'-I1o:l7f
BEST METHOD OF CONTACT:
-73Jfl
cm
.
STATE
ZIP
I
SECTION
ZONING:
10/717
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(MUlti-Family Construction Code)
PROJECT INFORMATION:
v< FOUNDATION TYPE:
Early Release ~ Manufactured construction area)
Permit: Y Trusses: ~ N
o CRAWLSPACE
Lot Split: Y _N Sump Pump: _Y =N 0 SLAB /
Does any part of the property lie within a special Flood designation area: _Y LN
(Check all that apply for the new
~ST & BEAM
B::~~~_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory s~~~~NBIf~Ttl~W,mmences
within 180 days of the date of issuance of the building permit, and must be comPletel!~~~tME-J(dcffiRm.CX~' ~~.~~~~s of the
issuance date. Class I structure permits are subject to the General Administrative Rul~terofJrndl~R!~($ee ~[~egarding expiration
. time frames for beginning and completing construeditSitate and Loca 0 e '-
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or ~~~PE~W'd'gSfOite\b~d or
structures requested by this application will comply with, and conform to, all applicable la~ohhe .Stat$....o{ l' ansi ~~ ..~f.Dt~armel
Indiana -1993" (Z-289) and amendments. adopted under authority of LC 36-7 et seq. GenE*J\Ys.QIiYIlI& biin~d'alt'.(cU llIrb!<lltgry
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. J .rl.;l~her c~WtJ.e construction Will. not be
used or occupied until a Ccrtilicate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
., , Lor'l Fl. ~j'RD50/JG- - J./W,'/IJ€ ",1:J3j{)f~,
Print Date
********************************************* **********************
Filing Fees: C) ,? 0
Base Inspections: '3 ~ 5. 00
Cert. of Occupancy: ,::;-~, s7)
/).. ~,O(J. Additional Fees
e<S" r?.) oZ_ (1
~ ,?,!::).1/Q;
OFFICE USE ONLY: ***
INSPECTIONS REQUIRE
Site
P.R.I.F.:
# Charged Re-
Reviews
-06
(Date)
TOTAL:
~:~
Fee Rece"e: .