HomeMy WebLinkAbout07010212 Application
SEWER UTILITY ESTIMATED COST OF CONSTRUCTION:
PROVIDER: C T I? UI /C (EXQUDING LAND VALUE) .3 7 S; 600
NAME OF lJTlUTY EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET ;t:t- 01'/ 0' OZJ I ; I. \) _ . '1lW"
NUMBERS; TAC DATE(S); AND/DR COUNTY WELL AND/DR SEPTIC PERMIT "S (IF APPUCABLE): _ t11 0f-fJ ry call d-
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTO~: "J3Y!' c.e. M
~SINGLE FAMILY - /" ,",.lJ_
0' NEW STRUCTURE 1 Y \
o TOWN HOME 0 ROOM ADDffiON(S) Plumber's Indiana State . cense j I /'UU 1RvJ
o TWO FAMILY 0 PORCH ADDffiON(S) /J I I. j
# of units: 0 REMODEL ,1/ C, /) On 2/ fL)
o MULTI-FAMILY 0 ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
# of Units: 0 DETACHED GARAGE 0 International Residential Code w/lndiana Amendments
o RESIDENTIAL (For 0 ATTACHED GARAGE
Additions, Remodels, Etc.) 0 DEMOLffiON 0 Uniform Plumbing Code w/lndiana Amendments
(MUlti-Family Construction Code)
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BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
llr. PROJECT
INFO:
City of Carmel/Clay Township Permit #(J1.12.l..Q..2J
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, llr. Two Family: New Structures, Additions, Remodels, llr. Accessory structures
PHONE
3/776'T- b7;l;;L.
FAX
;169-C, 7 .f
STREET ADDRESS
;2 08' ~
mY
STATE
75'"- 1--.
BUILDER'S EMAIl ADDRESS
1e__tr...5h /""h,., 15. /
NAME
17""1$ r S~rhr>
PHONE
U ~/V
mY
ZIP
STREET ADDRESS
STATE
SECTION
.., oP /~PJ'/C'k
ADDRESS OF CONSTRUCTION
;}./76 'ho
PROJECT INFORMATION:
Early Release
Permit:
Manufactured /' FOUNDATION TYPE: (Check all that apply for the new
_Y f/N Trusses: _Y ~ construction area)
~RAWLSPACE 0 POST & BEAM
Lot Split: _ Y ---L-/fr Sump Pump: n _N 0 SLAB c:::r-BASEMENT
Does any part of the property lie within a special Flood designation area: Y ........-rJ w Y .--N
For Single Family and Two Family dwellings, additions. remodels, and/or accef\Ei:-~ tfit") ~... t~. . I~' Wt!C'.tftll:tion commences
within 180 days of the date of issuance of the building permit, and must be cO~R~l-e:;l_( ~CCi~\of0e~p }{ J ) within 18 months of the
issuance date. Class I structure pennits are subject to the General Administrati*9t'Ji'eS' oHfs~~fllnd.i ., ~ l\C lJJt:.~nrding expiration
time frames for beginning and completin,& co~9"fiAA; i. ,j UNITY S ERV I v
I, the undersigned, agree that any construction, reconstruction, enlargement, reloca~alt~tfo:r'r6H~~~tpril~ ~~lRf land or
structures requested by this application will comply with, and conform to, all appli~tI3AA~ ,. , \nfc} thel'''~:'oning Ordinance of Carmel
lndiana - 1993" (Z-289) and amendments. adopted under authOrity of LC 36-7 et sely,/;bkrM' Assembly o~~~..t<!Andiana. and all Acts amendatoty
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further iertify that the construction will not be
used or oc upied unt" a Certific?y Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
~~, /~NrS~~/' ffu, 'k':Or>L..:: /--.l/--o7
Ignature of r or Authorized Agent rirint Date
OFFICEUSEONLY:**********************************************A*************************
Filing Fees: ZtJ:3, /:,tJ
INSPECTlO~S REQUIRED: Base Inspections: ..z 7 7, 50 # Charged Re-
Upper Footing Lower Footing Under Slab 3 Reviews
- Cert. of Occupancy: 5. i /i 0
"'eter Base' tflnal Sit;;-> / /} It Of)
<..::.:: -.:;::.' "--_ ~ P.R.I.F.: , <><"P ", Additional Fees
~~OTAL:I :if ~t!q5,t{)
~~--.!!J ~_ CJ- 'iS~Oq--
Fee R eel by: -
;
CV"~;!roMlc~ --z.~tO-CJ7
Reviewed/Ap ved: Dept. of Community Services (Date)
S:PermIts/ftlrms/ILP RESIDENTIAl