HomeMy WebLinkAbout07040133 Application
SEWER UTILITY WATER UTILITY ESTIMATED COST OF CONSTRUCTION.o.-l' .
PROVIDER: ___ PROVIDER: -- (EXCLUDING LAND VALUE) 'i""" / 0 C\::? ~ l
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSIDN / BZA / BPW DOCKET R E LEAS .J ( , ' ./: c':::',:; "" ;~\\ . \"
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICI\ll~;8Ct to cornplii'lnce with all regulatlO]1s 1\':--/ \1\ \ ~\
J ~_ ,--:--~ ."......, ,)~ \\, \.,
DEPT ~,'d3;J~XcrRIr'N~~ER0ib~s 0(\\)1 \;\Ij'\\
. 'oIl c\J' / \
L., I PL'tIMIhN1> (;'00 :1 i , ~/\ \
U (',\ \ ...-/___----.._' ~
o NEW STRUCTURE \:\ \\\ ___ _ ~
o ROOM ADDITION(S) 'plumber'S Indiana State License #:. \ /-
~PORCHADDmON(S)<;;::";.w..~ "\v v //
o DECK ADDITION(S) ,//
o REMODEL F' 'h I Which plumbing codes will be apPIi~d,to.th~~onstruction:
_ Basement m,s on y
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
'City of Carmell Clay Township Permit #: 0704- 0(8'6
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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STATE:
BEST METHOD OF SONTACT:
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STREET ADDRESS:
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~ PHONE-
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SUBDIVISION NAME: / / SECTI~ _
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FAX:
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STATE:
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LOT #:
ZON.$; .
SQUARE
FOOTAGE:
FLOOD lONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~RESIDENTIAL(For
Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
//
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
_Y_N
_Y ./N
Manufactured
Trusses:
Sump Pump:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE Iv POST & MEAM b PIER
o SLAB 0 BASEMENT (WALKOUT:_ Y ~N )
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
/"
_Y_N
_Y ./ N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only:if construction commences within ISO
days of the date of issuance of the building permit, 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 IAC 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 confonTI 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 l.C 3 hrSeq, neral Assembly of the State of Indiana, and all Acts amendatory thereto. r further certify that only
kitchen. bat d floor drains are connected to the nitary sewer. I hi r certify that the construction will not he used or occupied until a Certificate of
Q as i" y the Departrne of Co unity Service" d, ::;a. IJ ~. /_., S iff q ft '7
Date
Upper Footing Lower Footing
Rough In Meter Base Q;nal ~9
LfZ/J
(Date)
"~"""""""""':J~;i('~~""""""""'"
Filing Fees: - )
Base Inspections: '; /j )" 56
I st;- )~
# Charged Re-
ReViews
Cert. of Occu pa ncy:
P.R.I.F.:
Additional Fees
Q 3Ji ~f
TOTAL:
Fee Received by:
Date