HomeMy WebLinkAbout06050222 Application
City of Carmell Clay Township v ~ Permit 1I06050...2';? ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of NAME
RECORD:
STATE
I
ZIP
'-/'J-rt
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
PHONE
(3i
o
FAX
(3
STATE
LOCATION
& PROJECT
INFO:
SECT10N
ZONING:
s-
SQUARE
FOOTAGE: 53
ESTIMATED COST OF CON5fi1.UCT10N:
(EXCLUOlNG LAND VALUE) JJ '
:r I
PLUMBING CONTRACTOR:
1tll.AJ f. SMiTH
Plumber's Indiana State License #:
101777
Wh~umbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w /Indiana Amendments
(Multi-Family Construction Code)
Early Release / Manufactured / FOUNDATION TYPE: (Check all that apply for the new
Permit: Y ~ Trusses: ~ N construction area)
. '", - - 0 CRAWLSPACE O..A'bST & BEAM
Lot Split:" _Y N '1'" .Sump Pump: Y _N 0 SLAB /' ~ BASEMENT
Does any part of the propertY lie within a special Flood designation area: _ Y LN WALKOUT:_ Y /N
I, ,.
For Single FarnSMil~~;;~lf.M_J ~ and/or accessory stnlctures, this permit is valid only if construction commences
within 180 da~~r8EPr6ee&~f1B~f..P. thr:~.bti1 ti'ilj:Ji!l . Cl must be completed (Certificate of Occupancy issued) within IS months of the
issuance date. c::rasst stni~~ ~ifjj1tS' ,~ ~M_ '-.dministrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
or ~Jal~, ~ft.9 Loe . ~~ for beginning and completing construction.
I. the undersigncB.Eiji:lT t~~ ~ 0 ," - ~~~'~', ment, rdocation, or alteration of a structure, or any change in the use of land or
structures re~lq:ij,y~ ~~1;!CA~illfCS)Q p .. . 0 ! all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmd
Indiana -1993"Tl~-'lt!9)~ ~ffih~~ d .36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kittNIDlANAd floor drains ke conn~cted to the sanitary sewer. I further certify that the construction will not be
u or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
. , . B'< . (oil A. B;RbSr.Nfr -1lE1J.litJe S/JLj/ct-,
Signature of Owner or Authorized A ent Print Date
o
o
OFFICE USE ONLY: ****
********************~******************~**~*~*****************
FIling Fees: LJ,.~ /0
IRED: --, , -0
Base Inspections: rX 7 7. :> # Charged Re-
U ReViews
Cert. of Occupancy: S-.3 .S'tJ
/02.6/ (}O
,( TOJAJ-: /J $I ~ 5/(, 70
~~~
P.R.I.F.:
Additional Fees
{?rfl. ;~HI~ S-3t-e;b
Reviewed/Appro : Dept of Community Services (Dale)
S:Permitslftlrms/lLP RfSIOENTIAl
Fee Received by: