HomeMy WebLinkAbout06080145 Application
For Single Family, Town Home, 8r. Two Family:
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
SEWER lITILTTY
PROVIDER:
NA~ 0 "'ttJ T ;deQ "'-'1'
STREET 'D~SSg 0 X "5 C.l
BUILDER'S EMAIL ADDRESS:
---m~ P<,(uJ
NAME:
STREET ADDRESS:
LOT #:
bb
s v -I'<>"
ZIP:
~/(,f
FAX:
,vA
ZIP:
</t073
ZONING:
SQUARE
FOOTAGE: ? 0 0
o ll'tJ 0
NAME OF lJTlLITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
'\tl RESIDENTIAL (For
"- Additions. Remodels. Etc, J
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_Y_N
_Y_N
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
'&t ROOM ADDITION(S)
....~ PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses: _y YN
Sump Pump: _Y _N 7
b V k,..
Po W(! \,.
TAX MAP PARCEL #:
PLUMBING CONTRACTOR:
5~ nil 11<zc..4Q",<,..../
Plumber's In ~a State License #:
P~/l O(;..:.O/<J(:~
73190)
- ()
Which plumbing codes will be applied to the construction:
~ International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~ CRAWLSPACE 0 POST & BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences wi~hin 180
days of the date of issuance of the buildin ermit s e completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pe:c' D6 es of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersign. . to, re ns ructlOn, enlargement, relocation, or alteration of a structure, 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 -199r (Z~
289) and amendments, adopted under authority of LC. 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 or occupied until a Certificate of
Occupancy has been issued by t e epartment of Community Services, Carmel, Indiana.
OFFICE USE ONLY: ***************** **fl**-*-******* ******************~******:-********************
l.Y j//2! Fili 9 Fees: , d/7 ,) 0
INSPECTIONS REQUIRED I ? /
SI b B se Inspections: Co b, )" O'
per Footing Lower Footing r a . OU '
'J. ert. of Occupancy: <3, 571
Meter Base ~ Site.
, ~ P.R.I.F.:
o TOTAL: -Ii ~?7- 0~f
-t21()A.jlJ ill 17 ' L, It () ^ ~
F~lved by: - , <t' 1;3. (1 0 Le. ~ Date
Print
r. Y'll-; {tJ11 ";0J-..( g - 30v 66
Reviewed/Appr ed: Dept. of Community Services (Oate)
S:Permits/Forms/ILP RESIDENTIAL
0"1'1; T fQqv.J to,
J? J"z'l/ IJC
Oale
# Charged Re<
Reviews
Additional Fees