HomeMy WebLinkAbout06030145 Application
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
\
'bty of Carmell Clay Township \Y"~ ~ Permit #()f.:,6 ":?(') / 'f 5
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
-8'61
FAX
CITY
STATE
-If)
ZIP
BUILDER'S EMAIl ADDRESS
QLL ltC'A @ i,co.com
BEST METHOD OF CONTACT:
ho/>e
I
Lw
PHONE
311 3/7 -t6r
CITY
') /, e!
ZIP
No.n
S1
FAX
STATE
.-TAl
SUBDIVISION NAM~I /. / I
Clle//7 Clee.r- 6fk1?'J
SECTION
ZONING:
~5
SQUARE
FOOTAGE: /!/;/ 'Vi
SEWER UTILITY /7
PROVIDER: L tlrrtte..
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSIO
o
o
7k
o
nal Residential Code w!Indiana Amendments
iform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
/ Manufactured FOUNDATION TYPE: (Check all that apply for the new
/' construction area)
_Y _N Trusses: _Y ~N
/ 0 CRAWLSPACE
Lot Split: _ Y _N Sump Pump: _Y /' N e:J SLAB
Does any part of the property lie within a special Flood designation area: _ Y ./' N
B
12:1
POST & BEAM
BASEMENT
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 will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana ~ 1993" (Z- 289) and amendments, adopted under authority of LC 36-7 cr 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 occupi n a rtlncate OfOccllpancy has been Issued by the Department of CommunIty ServICes, Carmel, IndIana
~Iz//o(.p Chffslo;ler ~t<-(LN
Print I 1/
?hf'~t:,
Date/
OFFICE USE"'ONl Y: ** ****************** * *** ******** ************~*~*...!..***MY****************
Filing Fees: /r:::::>ZO. /J
INSPECTIONS REQUIRED: ' / ,-? o. . # Ch d
Base Inspections: 0 . f. u arge Re-
Reviews
Cert. of Occupancy: 51. .~O
Upper Footing Lower Footing Under Slab
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Reviewed/Approved: Dept. of Community Services (Date)
S:Permits/Forms/ILP RESIDENTIAL 1)/ y J1'f~/
P.
Additional Fees
Fee Received by: