HomeMy WebLinkAbout06010135-Application
City of Carmell Clay Township rxtr Permit #: () 6 D /0/35"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
FAX
575 -..;l.3/
STREET ADDRESS
CITY
STATE
ZIP
TYPE
PROPERTY
OWNER:
FAX
CITY
STATE
ZIP
LOCATION
& PROJECT
INFO:
SECTION
ZONING:
:s
ESTIMATED COST OF CONSTRU'i(lO'b CJO
LUDING LAND VALUE) I l) / 557.
STRUCTURE
ADDmON(S)
ADDITION(S)
EL
ACe DRY BUll r'>TMG Which ~I!.i~~~,~,~i~~ ~plied to the construction:
ACHED Gf ~b~~~~~{~c'1?,~i~~~~~~~~~~ments
ATTACHED ( 0 UnIform PlUlribi!.1g};H~~ ri!~ii~ll~ M!lui1l~11~
DEMOLITIO~ (lli~liIl'Ki/TIlf~d::orstr~!'t(qri,C1lde),1 '.-Ories.
::~:::e:::o Manufactured FOb~OMf()N, ':"-~ "!~I"';i:~~~~, ~ig~~~~tlle new
Permit: _y il Trusses: _Q _N onstruction area) Ir ",~,. ,:u 10\,VNt$fItFl
,{,1 Ll N 0 CRAWLSPACE "L;IQi\U~OST & BEAr--VI1~1 rllSh e.d
Lot Split: _Y ----t:.:./ Sump Pump: ~ 0 SLAB . ~ ~ BASEMENT ~
Does any part of the property lie within a special Flood designation area: _Y -Q) WALKOUT:_ Y N
-1t 060 I 0 13
PLUMBING CONTRACTOR:
l-{q VV1 WI cr Sf") n.<::; -L YJ C
Plumber's Indiana State License #:
c... P I OOc>C) / r<J
J
o
o
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 6751AC 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 '.vith, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -199r (Z~289) and amendments, adopted under authority of LC. 36~7 ct scq, 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
or occupied untIl a Certilicate of Occupancy has been Issued by the Department of Community ServIces, Carmel, IndIana
- S!.OtnICP 'S+eLJ~Y7n U/;-'
P nt
I 12'1/0(."
Date "
OFFICEUSEONLY:******************************************************~****************
, Filing Fees: C77~ j 0
\ INSPECTIONS REQUIRED: '. ._
\ Base Inspections: ,-;? b 7. J 0 # Charged Re-
(l1Pper F06ti;;j)~wer FOO~ Under Slab /1 .--- tJ Reviews
, ~ .~. Cert. of Occupancy: ;> .-->
Q' C";~; '.'H. Tom/J'I
'ved/ Approved: Dept. of Community Services Da)
'/FOfmS/llP RESIDENTIAL
Additional Fees