HomeMy WebLinkAbout06050136 Application
City of Carmell Clay Township
RESIDENTIAL IMPROVEMENT LOCATIO
vJc.
Permit #01005') ) 3~
PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
FAX
STATE
ZIP
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME
PHONE
FAX
STREET ADDRESS
CITY
STATE
ZIP
SECTION
LOCATION
&. PROJECT
INFO:
TYPE OF CONSTRUCTION,
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
Ii Ii!
- "I Ii!
l- , ("
''i\M~ 1i~!1lfOOKi#ln :,Ii r 0 /'/ u' 'f r
. ,c.g~.u(al/ll"'-"oo04al.k):d~S. J I
.t '/ ~~\'~:k;:~: f/;;:t'::KJ
ROOM ADDITI 9lA Plumber's Inlliana State License #:
PORCH ADDITION(S) C j) 9' Y '1 00 D ~ D
REMODEL .
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
lonal Residential Code wi Indiana Amendments
SEWER UTILITY
PROVIDER: C r f( W D
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AN
Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release / Manufactured /
Permit: Y LN Trusses: _ Y LN
- / 0 CRAWLSPACE
Lot Split: _Y ---.k:.N Sump Pump: ~ _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y v1i
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o ffiST & BEAM ~
Ia"" 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 et seq, General Assembly of the Stare 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 Certificate of.Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
# Charged Re-
Reviews
P.R.I.F.:
Additional Fees
(Date)
sl').,3/ tp/.p