HomeMy WebLinkAbout06030087 Application
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City of Carmell Clay Township \)J' 1 . permit#()h~300g1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
S"'-\-
~~~~fo~~'l (L--v y ~O t~~ G vJ~
NAME OF lJT1LTTY EXCAVATION CONTRACTOR; PLAN i!f,,.t\.~ I~/BzA ~W DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL ~"'f> es~M(;!;l~F APPLICABLE); /'
TYP~~~. ~r(t;
~EW!SJ:~~ D-2
o ROOM~'P'6UiON(\ 9t.
o PORCH ~~.PN(5l>
o REMODELij] ~
o ACCESSOR~'fLDING
o DETACHED~GE
o ATTACHED GARAGE
o DEMOLITION
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8r. PROJECT
INFO:
TYPE !Jf'CONSTRUcnON:
[!(' SINGLE FAMILY
o TOWN HOME
o 1WO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
(--
BEST METHOD OF CONTACT:
3P I
PHONE
FAA
Plumber's India
C f> 8"8'1oooPt>
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
~ Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION: /
Early Release /. Manufactured /.,
Permit: Y N Trusses: Y N
- /. 7.. - 0 CRAWLSPAC:i
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ 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 \".rill comply with, and conform to, all applicable laws of the State of Indiana, and the UZoning Ordinance of Carmel
Indiana.,.. 1993~ (Z~ 289) and amendments, adopted under authority of r.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 unril a Certificatliof oc~u~ancy has_~~~~-.::e Dep."meot of Community Services. Cacmel. Indiana.
0,.1<... {.p~ ./ '. 0.
Signature of Owner or Authorized Agent '/ Print
,
OFFICEUSEONLV:***************?j************ *************************~****************
/' jJ / Filing ees: / t2 /.9 00
I SPECTIONS RE U RED: / 0 '7 ..-- 0
/ .?O Bas Inspections: ? t ~ ..J
lab v ~
. ert. of Occu pa ncy:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o fl'OST & BEAM
(0" BASEMENT /
WALKOUT:_Y~N
P.R.I.F.:
Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL
Fee Received-oy:
# Charged Re-
Reviews
Additional Fees
o