HomeMy WebLinkAbout06110130 Application
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BUILUI:K
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
BUILDER'S EMAIL ADDRESS:
NAME:
1)r~o!..
LOT #:
SUBDIVISION NAME:
PHONE:
FAX:
-u-t:,
'3/
ZIP:
PHONE:
-;{'7,
CITY:
FAX:
->1"7-
00
STATE:
ZIP:
SECTION:
ADDRESS OF CONSTRUmON: SQUARE
'ZIt vJ. <2>",,>' ~'0 2J &....d -:f"f..1 t{ 0'" z.. FOOTAGE: /
TER lJTIUlY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: (EXCLUDING LAND VALUE)
,
-+-
NAME OF lJTIUlY EXCAVATION CONTRACTOR; PLAN COMMISSION! BZA! BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA OESIGNATlON(S)
FOR THIS PROPERTY:
"'AX MAP PARCEl #:
\ /("c,'1Z.,OOC>X>lo"DO
PLUMBING CONZRACTj
Plumber's Indiana State/License #:
1\
TYPE OF CONSTRUCTIO : \ - - TYPE OF IMPROVEMENT:
o SINGLE FAMILY ,,~ NEW STRUCTURE
o TOWN HOME i ROOM ADDITION(S)
o TWO FAMILY , L _ nUA\- PORCH ADDmON(S)
# of units bein uP ~ DECK ADDITION(S)
constructed at th REMODEL / "
Which plumbing codes will be applied to the construction:
time: _ Basement Finish only / '\.
o RESIDENTIAL (For 0 ACCES Y BUILDING 0 Intemational,Residential COde wI Indiana Amendments
Additions. Remodels. Etc.l 0 GARAGE - i - ~
",;ttF,\~r-"P5GARAGE 0 Umform P mblng Code wlIn na Amendments
Cr\~"'Q ,,,v-;:.
," . .".A' t vUIION '
P OJECT'INFO . _' '14\\1'\ _ FOUNDA ON TYPE: (Check all t at apply for the new
Eari~-R, - " (\\I'\\ll~\l ClM,i\lj}~, - ljalL.SS, construction area) "-
permit:";;u'O\eC\\~~~'(;~.\:,t\)~\n:~:;hINSr]\? y~~ -,' 0 CRAWLSPACE 0 POST& BEAM_PIER
v 0 J,u\">.j! ~(.Q,'J.\I\
Lot SPI;~t: l' if, _, : \... I O!:'f'lP P p: - Y q S';AB 0 BASEMENT (\V!\LK~if.i:: c,~ iN)
For Sing;I~~ei tF;"'if~. gs, additions, remodels, and/or accessory structures, th~ pe~.ti~'Y~ia~oMy~ii c'ciit~~~~i{ c6~e~c~'~\fithin 180
days of .,\ta?~ of issuance of t~e building permit, and must be completed (Certificate of Occupancy i~s'Jeq) Witlilil18liiOilt:hs of the issuan~e~da~el Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) ~~ding expiration time frames for.lJe&inning and
completing construction_ II ffl 0n()~ I !i i II
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a struf~ur ,~or any~e 2 ttS u!e..ot%.nd or:s,tl1,lstpres
requested by this application will comply wit conform, applicable laws of the State of rndiana, and ~~t u ohing Ordinance of Carmellndianaf--1993n (Z~
289) and amendments, adopted under aut ity of I.e. 36,7 et seq, eraJAssembly of the State of Indiana, an?'!ll ~dts amendatoD'~the.reto.Jfurther tertiEyjthat only
kitchen, bath, and floor drains are conn ted to the sanitary sewer. I her certify that the construction will not be used or occupied until a Certificate of
Occupancy has been issu by the partment of Community S s, Cannel, Indiana.; . . I
~ t:0~6
Upper Footing
Rough In
**********************************************************
/ ";f.~ _ 0'0
. 2;5' ,([0
Lower Footing Under Slab
Meter Base Final GJ
Dept: of Community Services
S:Permits/formS/IlP RESIDENTIAL
Filing Fees:
Base Inspections:
# Charged Re'
Reviews
Cert. of Occupancy:
Ob
P R IF. Additional Fees
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