HomeMy WebLinkAbout06030111 Application
.~
City of Carmell Clay Township !~ Permit lJI,O 3D/l1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8r. Two Family: New Structures, Additions, Remodels, 8r. Accessory Structures
BUILDER of
RECORD:
PHONE
.Q3g'
FAX
515 -d3/
PROPERTY
OWNER:
FAX
STATE
ZIP
LOCATION
8r. PROJECT
INFO:
ZONING:
s/
SQUARE t' "-~
FOOTAGE~ . - .
SEWER UTI
PROVIDER:
TYPE OF CONSTRUCTION:
~SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
,: ;iJ<-':-
: i 'j)~:~:jfo~_\~'-
1'C\,\1 I I I
PL'J!h.ING CO~~R 1 5 2006 !;:,' .,
'f7l1J1 _,~I.J_:__ L c... I: '
Plumber's Indiana StateLiainse-#:'---- i
I :
C!.-P /ClZloO--/(J-.I--.---.....-------..--.:
,
NAME OF UTIl11Y EX VADON C CTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); ANOia COUNTY WELL ANDIDR SEPTIC PERMIT #'5 (IF APPUCABlE):
Which plumbing codes will be applied to the construction:
~ntemational Residential Code w/Indiana Amendments
o Unifonn Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
FOUNDATION TYPE:
Early Release Manufactured ~
Permit: Y ~ Trusses: N ..,....-construction area}
o 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
-f;J I /
o POST&BEA~I(l1 ed~1
~ BASEMENT to h
WALKOUT: Y
For Single Fa.mily and Two Family dwellings, additions, remodels, and/or acc~ ~cw.,tes, t~permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be c~pl~ted (Certinc:ffc(ofOpa~*IJ~ issued) within 18 months of the
issuance date. Class 1 structure permits are subject to the General Administranve.RuleS:o(th~..:~~f~I~f}ndiana (Se2'"~~J~arding expiration
time frames for beginning and completing,constructioii: !C(' 'l,';,h ';i'; f'" ~' IUIV' i
I. the undersigned, agree that any construction, reconstruction, enlargement, reloc~tion;:OJ'.~a44.H "6ristruCrup;; ,or ~y:s:,~~ge~~Se of land or
strucrures requested by this application will comply with, and conform to, all a~aql~ l~~s ofTheStat~'l?f RtQ1~a;, ~~,~~ ,"Zoning Ordinance of Cannel
Indiana -1991" (Z-289) and amendments, adopted under authority of I.c. 36~7 e~~q, G~iU Ass,e:I!lhly ,of,tlittState of India;ni',\at1d-all,Acts amendatory
th o. I further certify that only kitchen, bath, and floor drains are connected to the sanitary ~w'&~ ;I.fiirth~rrt~~, t~at,th~~s~n~~nfction will not be
sed occupied until a Certilicate ofOccup,:"cyhas been issu the ?eparonent of C;;J/ibt~~~~el~In~ / ~ AS r;::,
Date
OFFICEUSEONLY:*************************************************~**********************
Filing Fees: /Ilu L- ;( t))
INSPECTIONS REQUIRED: I . 7 ' /:
Base Inspections: 3 f-, - 1 /J # Charged Re-
<iJpDer F60tFni!)Qower Footing.-:;>Under Slab <J ;; /l Reviews
~~ " '1i~ Cert. of Occupancy: L_ 2...1/
CRoug~Me~ Final -' P.R.LF.: JJ (,/. If() (j AdditionalFees
If) _,-4-~. ~. ~TO' iI.. 9--t't 1,).0
~ ~ V3/;V/Db ~~~~
Reviewed! Approved: Dept. of Community Services ' (Date) . . ~-
S:PermIts/FormS/ILP RESIDENTIAL Fee Received by: