HomeMy WebLinkAbout06060061 Application
City of Carmell Clay To~ship v'\'f'. Permit #: ZJ tro lp W> tel
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
ADDRESS OF CONSTRUCTION
,154 E fI..
ZIP
"IMl
em
I f\ /.:.
STATE
I
BEST METHOD OF CDNTAcr:
FAX
em
C.
STATE
I
ZIP
ZONING:
SECTION
SQUARE
FOOTAGE:
ESTIMATED COST OF ODNSJ1l.UCTION:
(EXCLUDING lAND VALUE) ~ J 7
SEWER UTILITY WATER UTILITY
PROVIDER:C I 1\ PROVIDER:
NAME OF UTILITY EXCAVATION CONTRAcrOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR ODUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
TYPE OF CONSTRUCTION:
ry{ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
IMPROVEMENT:
NEW STRUCTURE
o ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
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Jb C
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PLUMBING CONTRAaORi.C::::..'::c::'.',-.._ .~:. i i \ \ I
. :OUII --~-111 \1'
.PAIJ./ E. SMITH 11,,\1 III III
Plumber's Indiana ~tei ~ice~:- 8 2006 i Ii I d
10/771 iLl lJi /lUll
Wh5"plumbing codes wr' be .;p6ed to the construction: I ~J
Cl?f" International ReSlaentlateocte-wflRdi:llna ~endmen
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family COnstruction COde)
PROJECT INFORMATION:
v< FOUNDATION TYPE: (Check all tlhat apply for tlhe new
Early.Release / Manufactured construction area)
Permit: Y ~ Trusses: ~ N
- - - 0 CRAWLSPACE 0 AOST & BEAM
Lot Split: _Y _N Sump Pump: _Y _N 0 SLAB .- /0' BASEMENT ./
Does any part of the property lie within a special Flood designation area: _y..LN WALKOUT:_YLN
For Single Family and Two Farnil . d . ~_,;::::;.~~emodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the~f . t "fBuDgpermit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuancl~.,c}~ee.~~Qi:\i~lre EiPW~i\Ps ~ct to the General,Ad.ministrative R~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
c.'t..l._' ,_ ~'.. corffP\\all,,- - ca\ Cod~~~orbeginnmgandcompletlDgconstructlOn.
I, the un~rSlgne:Ct's-' ,ta&\~~~~~~~gement, relocation, or alteration of a structure, or any change in the use of land or
structures requesteff. b' ~~ 'cofup~ ~ Sia\!Onform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
IneUana - I"'~3"Jt;-2.8 ~<;!l<!mfItCli\#<>itM'dn"d"er authoriry of r.c 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I M.iherH~,~~NilY:!m:tl].Q1, kath, and floor drains are cOIlllected to the sanitary sewer. I further certify that the construction will not be
used 0: 'e',lIj>~htiH c~~pancy has beeu issued by ~he Dep~ment of Community S~rvices. Cannel. Indiana. (/t /j
. B Lo~ I A. B,Rh~rj& - H.a.~J,l.lf ~
Print Date
OFFICE USE ONLY: ****** ****** ****** *** *****.~ * **** ******** * *** *****h** 8M * ************* **
/J. Filing Fees: lo Ct ~. ~l/
INSPECTIONS QUIRED: C./. <" ;"'J~r7 -'^
~ ;.1\5 Base Inspections: A. /_ _~ V # Charged Ro-
per Footin 0 er Footin Un ') 'q . "7 '-4"'0 Reviews
.---'. Cert. of Occupancy: -6..J I':::> U
I ? ~{. 0 0
?,~55.qO
cV'O..,;~ \-:-,e,,,, to -/4--0h
Reviewed/Appr ved: Dept of Community SeNlces (Date)
S:Pefmits(Forms{llP RESIDENTlAL
P .R.LF.:
Addltionai Fees
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