HomeMy WebLinkAbout07010090 Application
ADDRESS OF CONSTRUCTION:
11831 Rollin S rin s Dr
SEWER UTILITY 1/ _ _ . I WATER UTILITY / _
PROVIDER: ~a..l'"1Tt(:-1 PROVIDER: L.a..r~
NAME OF UTILITY EXCAVATION CONTRA OR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC OATE(S); AND/OR COU~n:\ilELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
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FLOOD ZONE AREA DESIG nON (Sf;';, \,\\\ ~
FOR THIS PROPER--:;. II \~\1.. 0'1..;"
., 'V'; /^ \IAf'
TYPE OF CONSTRUCrioN'~ \l:vPe:OF 1M ROVEMENT:
/, (( " ~/ ,,\\\) 1 \
D SING~~~A~ILY ~\ (s)/NEW STRUCTURE
D ,Tl!W!'I):!OME '\.. 'rJ RoOM ADDITION(S)
D ~O,r.J\M~LY ''''''V''o P.ORCHADDITIONCS)
<#\ of, unIts ~ D.-DECK ADDITION(S)
'~c('l5b:l,cted at this /0 REMODEL
ti'l'!'i \\\ /' _ Basement Finish only
~ RESIq~1'~.("or / D ACCESSORY BUILDING
Additions, Remodels,-EtC.l D DETACHED GARAGE
\ / D ATTACHED GARAGE
PROJECT INFORMATION: D DEMOLITION
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
llr. PROJECT
INFO:
Ear1y Release
Permit:
Lot Split:
\
City of Carmel/Clay Township Permit #: 070100 q D
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory Structures
NAME:
PHONE:
FAX:
S
STATE:
ZIP:
CITY:
108 E. E ler Ave.
In
BEST METHOD OF CONTACT:
FAX:
NAME:
Bill & Mar e D
STREET ADDRESS:
11831 Rolling Sprin s Dr.
PHONE:
ZIP:
CITY:
Carmel
STATE:
IN
46033
LOT#:
SUBDIVISION NAME:
SECTlON:
ZQNI G:
SQUARE
FOOTAGE:. -
PLUMBING CONTRACTOR:
MAl (lJlI tJlllmnl ng ~_
Plumber's Indiana State License #: ~
PC89200123 ~ Jeff Mot'
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
_yLN
_Y X-N
Manufactured
Trusses:
Sump Pump:
FOUNOATION TYPE: (Check all that apply for the new
construction area)
~ CRAWLSPACE
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_YJLN
D POST 8< _ BEAM _PIER
o SLAB
o BASEMENT (WALKOUT:_ Y _N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, 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 Cannel Indiana - 1993" (Z-
289) and amendments, adopted under authority of I.C 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 drai are connected 0 the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occu has been issu y t epar ent of CommulUty Semces, Carmel, Indlana ~
~ Wjho.l"Y) C--,QlI~'\)'\R J 1/2/D"}
Signature of OWner or orized Agent Print Dat; ,.
OFFICE USE ONLY: *************************************** *************** *~*********************
INSPECTIONS REQUIRED: Filing Fees: I- , ~O
. ' Base Inspections: / 66., J rJ
Upper Footing Lower FootIng Under Slab ,. /J
r--: ~ Cert. of Occupancy: ~ 3, J
Meter Base ~inal ~
NFO::'IF' ~L' ~3;V ';";-
(Date) / i/ti:i~
Fee Received by:
~\
# Charged Re-
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