HomeMy WebLinkAbout06010137 Application
City of Carmell Clay Township '~permit #:(JhIJ /0 l3rT
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
ZIP
PROPERTY
OWNER:
ZIP
:S
SECTION
I
ZONING:
5-
LOCATION
& PROJECT
INFO:
LOT #
'"3
SUBDIVISION NAME
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRU~Gf(: /
XClUDING LAND VALUE) 't" / (p c,
5;;(./ .dJ
NAME OF umUTY EX VATIO NTRACTOR; PLAN COMMISSION / BZA / BPW OOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
E R
~NGLE FA
o TOWN HO
o TWO FAMI
# of units:
o MULTI-FAM
# of Units
o RESIDENll L (For
Additions,
o
RY BUILDING
ACH D GA~
ATTACH D G/
ON
01
PLUMBING CONTRACTO~
--=f. T wl.")")(fJ WJnjd-:. ~n5 J.../'IC
Plumber'~~_~~~~~STRUCTION
c........P I ~) /6$.pi;A,"cG with all reQtJlationR
Which plumbing code~iliiili9Pi>fled tMiiil~briitiv.!lion:
~tem~iciR.T ~&l[;i,I.&lieIWjlnlii~iiW.l~ts
o unif.\fJ,~uQ~n'i(~~d&'tl.A'h,~~HIP
(Multi-Family Construction ~IANA
PROJECT INFORMATION:
Early Release
Permit:
FOUNDATION TYPE:
_Y r, Manufactured /"'l_N ./cOnstruction area)
~ Trusses: --.L.Y.. ~ .....
/7.\ A\ 0 CRAWLSPACE
Lot Split: _Y ~ Sump Pump: ~N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y ~
(Check all that apply for the new
~tl
o POST & BEAM Lm~ 11 IS;'W
~SEMENT ~
WALKOUT:_ 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 requested by this application v.ill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
Indiana -199r (Z~289) and amendments, adopted under authority of I.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 Ccnj{jcate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
Q,CvvtufS(n){L.rt.l1z..rT.-{- (7~., I('~ 0T.... vAYjrlU,'C I /L'I;{;~
Signa re of OWner or Authorized Agent I"rint Date
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: . :???( ~ 0
r;; (,~ ;-,~. Base Inspections: '2;-7 tl 7 ) iJ
~pper Foot~ower Foot!.!1ll,< lab r-;
Cert. of Occupancy: .2...!.. - ;-0
(Ro"'gh~ (!feter Ba~ F' I"~ / /.. O~.
P.R.!. ... _ C7'< \c>> '-"
" /' TOTAL: $-d~Y. 60
/<~~~cO{~(!'/' ('
Fee Received by;
# Charged Re-
Reviews
Additional Fees