HomeMy WebLinkAbout06040091 Application
City of Carmell Clay Township cA-permit #(1:04 () 0 9 I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
Multi-family, 8< Two family: New Structures, Additions, Remodels, 8< Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
NAME
LOCATION
8< PROJECT
INFO:
NAME OF LmUTY EXCAVATION CO CTOR; PLA MMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE qJ' CONSTRUCTION:
(0-' SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units;
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE f IMPROVEMENT:
NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o AlTACHED GARAGE
o DEMOLITION
STATE
ZIP
International Residential Code wI Indiana Amendments
Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
PROJECTINfORMATION:/
Early Release J "Manufactured ~'
Permit: Y ~iJ.. Trusses: ~ N
V.. 0 CRAWLSPACE
Lot Split: _ Y _N Sump Pump: Y _N 0 SLAB /
Does an~ part of the property lie within a special flood designation area: _ Y -t,L-N
fOUNDATION TYPE: (Check all that apply for the new
construction area)
o .)lOST & BEAM
iQ" BASEMENT ,,/
WALKOUT:_Y~N
For Single Fa~ .'l!:. amlily aw~g;llld~j~remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 da~'6ff1i~BJl'e dfiSSt'~nS~_~J.,.~.lle))~i1Hirlglil!J.Q~tJ1 st be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class. I structure permits ~,r:~'suBj~i taft~e - - m", inistrativ,e Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
,; Dr' ~ ~tJlnf ~ or e ~ and completmg constructlon.
I, the um!ersVJllf4 agree ~hat any c~nstru~tie.n;~ecp~t~<;O~; enlargement, relo~a(Jon, or alteration of a struc~ure, or any c~ange. in the ~se of land or
structureji req~~ttd by thIS applIcatIOn wpl cprPf:)Y ~t~iillt2' all applicable laws of the State of IndIana, and the Zonmg Ordmance of Carmel
Indiana iI993" (2- 289) and amendments~ ';rd()p~~r ~ . , ,J!i-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
rhereto. rfurt erriEy that only kit~ifl floor main _ Med to rhe sanitary sewer. I further certify that the construction will not be
used or cu ied nr' a ertjfb~eo[Occupancyh.s been issued b rhe De .rtment of, Community Serv'ces. c.rm:. IndiaFktY}t?5 +[/7/0
Signatu - Date (I
.************************************************************************
. Filing Fees: // ~ - 9'0
INSPECTIONS REQUIRED: . ~ .-"7~ 'r()
Base Inspections: .::-/ r /.. ::L.'
I.--'"" .
,~3_ )'0
;2 dO
OffICE USE
# Charged Re-
Reviews
P.R.I.F.:
Cert. of Occupancy:
Additional Fees
,
C YIL: ~ /1J~ <1."20-66
~ Reviewed/Appro d: Dept. of Community Services (Date)
~ ,:PermltsjFormsjILP RESIDENTIAL
cf2. -7/ P. '/ tJ