HomeMy WebLinkAbout07020130 Application
SEWER lJTILITY WATER lJTILITY W ,ESlJ.MATED;cciST QF CONST{l,OrnDN:;; ,uN
PROVIDER: CAf.,/J1(;L, PROVIDER: e,1J.Il.t11 Sub\;c t~EtH~~.~~,-~t?eV~W~)i flti ~I ~~,.-
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET of State and loc;}; Coyes.:/;i:", \\"'; ,:': :, \\ '\\
NUMBERS; TAC DATE(S); ANDIOR COUm>' WELL ANDIOR SEPTIC PERMIT ,'S (IF APPu~PT OF COMMUNIIY('$EBY(GES// "\ \ \\
FLOOO ZONE AREA DESIGNATION(S) J " CITY OF um:aJ.I,~\TOWNSHlP "(\~l' \\) i \
FOR THIS PROPERTY: , l Lt.k.s iuuk.d J IOANA !: \ 1 c\j \\~.:--',
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT: PLUMBING CONTRACTO~:~\\. ~---' \
\' \ \\' ~ ..-----'
o SINGLE FAMILY 0 NEWSTRUCTURE \\\ '-"1.--/ _--
DO TTWOWONFAHMOIMLEy 00 ROOM ADDITION(S) Plumber's Indiana State Lie,"" se #: __/
PORCH ADDmON(S) ___
# of units being 0 DECK ADDmON(S) \ ___-
constructed at this 1M REMODEL
time: L Basement Finish only
" RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels. Etc.) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
I
I
\. /
, '!~.~!,A,~.!'/'
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO;
City of Carmell Clay Township Permit #: () 7 0 ~ 0 130
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory St'"1'ctures
NAME:f/~
FAX:
PHONE:
i7 'i'Tr 9rrs
G
STATE:
/;V
CITY:
ZIP:
~i--
:]
BEST METHOD OF CONTACT:
e-~4; I
PHONE:
?i7 l?t9 "~e.
FAX:~
STREET ADDRESS:
I 2-71- ~vI/I'1IU"vG I:t-
CITY: STATE:
CA-btt;;t..- / N
Cy~t- eLf Hazel :D:JI' .1f<!l
$1
ZIP:
46033
ZONING:
LOT#:
/2-
SUBDIVISIE':~! J
ADDRESS OF CONSTRUCTION:
SQUARE '7
FOOTAGE: {(
'SQt:f-
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
_v-1-N
_V -$-N
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_V-B-N
_V~N
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB ~ BASEMENT (WALKOUT:_V)t,N)
For Single Family and Two Family dwelIings, 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 pennits 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 Carmel Indiana -1993~ (Z'
289) and amendments, adopted under authority of l.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 drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occul!!E!EIhas been issued by the Department of Community Services, Carmel, Indiana.
,....-: ","",;x:.... " d-A,TT~ /-f'-L.twfrHz-lJ 2/1..'2--0 ~
Signature of Owner or Authorized Agent Date
OFFICE USE ONLY: .********************************************************
Filing Fees:
Base Inspections:
Cert, of Occupancy:
Upper Footing
CROugh 0
INSPECTIONS REQUIRED:
# Charged Re-
Reviews
~**~tr******************
Lower Footing
Under Slab
Site
P.R,LF.: Additional Fees
%u. TOTAL: .$ 627(1. 06
?.Recei~d i1Jr/+, ,~I/~ate