HomeMy WebLinkAbout07070207 Application
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CIty of Carmell Clay Townshtp Permit #: f) 7 () 7 () 7..07
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FLOOD ZONE AREA DESIGNATlON(S}
FOR THIS PROPERTY:
STATE:
ZIP:
BUILDER
OF
RECORD:
NAME:
FAX:
PROPERTY
OWNER:
FAX:
STREET ADDRESS:
STATE:
ZIP:
LOCATION
& PROJECT
INFO:
ZONING:
SQUARE I) 1'/ r
FOOTAGE: oS 'I vi
SEWER lfTlUTY /J
PROVIDER: c[LWUL
WATER lITlUTY /J 11. I, nn. I
PROVIDER: CLU1J / L-LA--
7
707[90
NAME OF UTIlITY EXCAVATION CON'TRAcrOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S}; AND/OR COUNn WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
C.
TYPE OF IIi2R~!l~~n=OR c PLUMBING CONTRACTOR: fr>i....1f/IJ . ,itiJ A
il';. NEW~mURl!;Ompllance ~i~~ R , or ~/~ .926~ 1lJa
g :gmr:r;l~~\l and Loc~ od~~lliat~~III~ta~ License #: @SOjj;;,.,::S
o D=O .tdN(~MMUNITY St~~, j,') 7
o R F C(-\flhM~ / C~ltri>kIl11lf~ 5 wIll be applied to the const,uction:
Basement FIniS 9':1 ruVV '-110
o ACCESSORY BUILDING! 'AN Interna 10 MResidential Code w/Indiana Amendm,ents
o DETACHED GARAGE .' '
o ATTACHED GARAGE 0 Uniform Plumbing Code w/Indlana Amendments
o DEMOLITION
TYPE OF CONSTRUCTION:
~D SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
Lot Split:
_YAN
_Y ---X-N
Manufactured
Trusses:
Sump Pump:
~Y_N
_Y4N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
PROJECT INFORMATION:
o
%J
CRAWLSPACE 0 POST & BEAM _PIER
SLAB 0 BASEMENT (WALKOUT:_Y_N)
For Single Family and Two. Family dwellings, additions, remodels, and/or accessory structures, this permit is valid'only uconstruction c"(;mmen;es within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issu'e~) ~t~~}8,_Jn~.~ths of the' i~min~~ date. Class I
structure permits are subject to. the General Administrative Rules of the State of Indiana (See 675 lAC 12) regaidiAg expiration time frames-for beginning and
completing construction. ' ': _.) ) \ .
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structu~, or,a~y change in the ute o,f)~ or structures
requested by thiS application will comply with, and conform to, all applicable laws of the State of Indiana, and the: ~~o~\rig O~e ofCarmil1tidiana - 1993~ (z-
289) and amendments, adopted under authority of LC 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 no't';b~ used or occupied until a Cfrdficate of
Oce . ancyhasbeeniss ed.bytheDepartmentofCommunityServices,Cannel,Indiana. I L. - . -~ - -
, . Zur SlIl-h/AiOA! IIrA/SHAI,<.L- -'l-,3-()7
Print Date I
OFFICE USE ONLY: ************************ ******~~****** ************t,~** *;S ************************
~SPECT10NS REQUIRED: Filing Fees: 7 g.';f"rl)
~oting Lower Footing der Sla Base Inspections: -'Z... ~~ ~
~ Cert. of Occupancy: '
~ ~~ P.R.I.F,: tin. tJ()
l\ {L)L .' ~~AL: jf~CO
\~eViewed/APproved: Dept. of Community Services (Date) ~ ~~
":Permlts/Forms/ILP RESIDENTIAL Fee Received by:
\,
# Charged Re-
Reviews
Additional Fees
Date