HomeMy WebLinkAbout06010065-Application
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City ofCarmellClay Township Permit #:()t,6/00Jill
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
NAM
/
PHONE
:Z;:;C .J/7-57S- /90
CITY/? STATE
~UJ./7 La.un e/ -kJ,
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STREET ADDRESS
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BUILDER'S EMAll ADDRESS
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PHONE
.3/ -575-1"10'-1
PROPERTY
OWNER:
NAMJE
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FAA
(,(,3-3/02
ZIP
Z-
I
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LOCATION lOT#
& PROJECT
INFO:
SEWER LmllTY
PROVIDER: ,t /c
AJ'It
000
F I ROVE ENT:
EW STRUCTURE
OOM ADDmON(S)
RCH ADDmON(S)
R ODEL
AC ESSORY BUILDING Which plumbing codes will be applied to the construction:
ETACHED GARAGE 0 International Residential Code w{lndiana Amendments
o ATTACHED GARAGE . . .
ElEA,.,Q.. QI>MOLUlON 0 Unlfonn Plumbing Code w{lndlana Amendments
S ' "l:U FVH l;ONSTRUCT/O (Multi-Family Construction Code)
M n : ubJect to com I N
Early Release Mlinlifllai~ce with all regulatio,.EOUNDATION TYPE: (Check all that apply for the new
Permit: Y IilEP1t""~, ,LO~I~~ode'N construction area)
- - ....~-'="'VMMu' ~
Lot Slit: Y ,~,~ OSi.c~"Il"''''';': ' 11'. ~;t'CES 0 CRAWLSPACE
p - - ..... ""!'<It / GJ::Ay NSH/rP SLAB
Does any part of the property lie within arw~.Il!ood designatIon area: _ Y _N
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
o
o
o POST & BEAM
o BASEMENT
WAlKOIJT:_Y_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 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 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 req ested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -199 (Z-289) and amendmen ,adopted under authority of I.e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I fu er that only kitch ,bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or ocru ic nrll a Certilicate 0 Occupancy has been issued by the Department of r,mmUnity Services, Carmel. Indiana.
~:. ~____ /-q-D"-
Signature of Owner or Authorized Agent __Print Date
....-- -........
~ ,
OFFICEUSEONLY:************ **~***********\********************************************
~ f; Filin Fees: / ? "it, 7.~
INSPECTIONS REQUI 0: ~-y :r:ase Inspections: 03, 00 # Charged Re-
Upper Footing Lower Footing Under S Reviews
e Cert. of Occupancy:
Rough In Meter Base inal Site
P .R.LF.: Additionai Fees
~ WTAL: ~~';z~
Reviewed{Appr ved: Dept. of Community Services .... tI "h/fdd' ) 9 lOb
S:Permlts/FonnS/ILP RESIDENTIAL Fee Received