HomeMy WebLinkAbout06060085 Application
City of Carmell Clay Township u) .G> ~ Permit #:-.!lft.-O fL 0 (}f4
RESIDENTIAL IMPROVEMENT LOCATION PERMIT AlT'tiC'XTION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
STATE
ZIP
NAME
FAX
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
STATE
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
ZONING:
SQUARE
FOOTAGE:
SEWER UTILITY
PROVIDER:
/'
ATER UTILITY
PROVIDER:
ESTIMATED COST OF CQN5TRU
(EXCLUDING LAND VALUE)
NAME OF UTIUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW 0
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (I ,
TYPE OF CONSTRUCTION: I?S; TYPE OF IMPROVEMENT:
o SINGLE FAMILY 8f.t6 .~~ NEW STRUCTURE
o TOWN HOME 1&Ct t. ~M ADDmON(S)
o TWO FAMILY D. 6;;-..
# of units: q 'I;:~.,. Of t. ~mON(S)
o MULTI-FAMILY ~o~o~~~e~g ~~G Which plumbing codes will
# of Units: C
~ RESIDENTIAL (For "1 i2l:W: lfO 0 International Residential Code w/Indiana A
Additions, Remodels, Etc.) In ~~ ON...es. Y~tIO^ ~ Uniform Plumbing Code w/Indiana Amendmen
"'VD.c:;':Cy,. ,v(;:t>,. .,& (Multi-Family Construction Code)
PROJECT INFORMATION: --.t\c r l; 'T "'l.
Early Release NJ Manufactu~ o~~.s FOUND~nON TYPE: (Check all that apply for the new
Permit: _Y ~N Trusses: _Y~,() construction area)
~ Dc~~~ 0
Lot Split: _Y -+::-N _Y ~N SLAB 0
:y;....,. .'1:,
POST & BEAM
BASEMENT
WALKOUT:
Y
N
For Single Family and Two Family dwellings, additions. remodels, and/or accessory structures, th s permit is valid only if construction commences
within 180 days ofthc date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months ofthe
issuance date. Class I structure permits arc subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
It the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land Of
structures requested by this application \...il] comply v.ith, and conform to, all applicable la\vs of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiana -1993" (Z-289) and amendments, adoptcd undcr authority of J.e. 36-7 ct seq, General Assembly of thc State of [ndiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are conncctcd [0 the sanitary scwcr. I further certify that the construction will not be
used or occupied until a Certifica.te ofOccupa.ncyhas been issued by the Department of Community Services, Carmel, Indiana.
-n:~ ~ AIv,Cc..e
Print Date
OFFICE USE ONLY: ************* *** **** * *** ****** *** ******* ** **** ******A* H*** ****W**~***
\) Filing Fees: -:1'3. . ~ V () ~I
PECTIONS REQUIRED: '< I '~& -a:~ II &
Base Inspections: If. / ' ~harged Re'
Under Slab j -- / 'ReViews
I \~~cert. of Occupancy: J::;. ~ 0 /07. DO .
~ P.R.I.F.: '3 ..5,3 A'dditional F~(61f2
TOTAL: ~. ~P- W~~
/} 7 . r p-i\'1
'd, ::r" s I( ( f: 0 'I. '/ 7 / nr....
f~r. ~~~
Reviewed/Approved: Dept. of Community Services
S:PermitsjFormS/ILP RESIDENTIAL
(Date)