HomeMy WebLinkAbout06050218 Application
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City of Carmell Clay Township Permit #: Ofe05 0 2\ <6
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PROJECT INFORMATION:
Early Release i Manufactured i
Permit: Y' N Trusses: Y N
- . - 0 CRAWLSP
Lot Split: _Y N Sump Pump: Y _N ~ SLAB (/
Does any part of the property lie within a special Flood designation area: _ Y:ts::::N
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIL
PROVIDER;
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY ,,179
Ii6 TOWN HOM~/'\Y1' 0
o TWO FAMILY 0
# of units:
o MULTI-FAMILY 0
o
# of Units: 0
o RESIDENTIAL (For 0
Additions, Remodels, Etc.) 0
F IMPROVEMENT:
NEW STRUCTURE
ROOM ADDIT10N(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
Which plu
o Inter
'd, Unif ,
l't (Mu -
FOU
canst
_Y_N
For Single Family and, Two Family dwelli~~, ~ddi~<i~,.r.s:rogcl&l,s, and/or accessory structures, this permit is valid only if construction commences
within 180 dme~'l!t!J iPo-RtCa(di'l!ll&1ift\.g'pCJrHiJ,~d must be completed (Certificate of Occupancy issued) within IS months of the
issuance date. SlnEib~t~&~~rrrpnWneff~~g.l~'eguumam.BAdrninistrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
U Jec . '. caVeo5e'!~s for beginning and completing construction.
I, the undersigned, agree dtft~~~J\t1gcbg...n"I~~IfU~Jl~ement, relocation, or alteration of a structure, or any change in the use of land or
structures reque~I1fli().w~(i)MMUtl*tPIY~Ji7ri\~ ~b6.frn'm to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -199Y ~), a ~0WNSHle. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I furt;e r J~tt~1~~oor drains are connected to the sanitary sewer. I fur, [her certify that the construction will not be
used OFOCCUpi< ntila Certificatetl>Wr~~~has been is~r;1tmem1i ffi(('mel, Indiana. ~
Signa ure of Owner or uthorized Agent Print Date
OFFICE USE ONLY: ** ************* *** *** *****.~***** ******** ****r******~*~ **************
FIling Fees: f.l2-q..a. u u
INSPECTIONS REQUIRED: ......., rl H ~ .....
..c.:::: _.;-:::., Base Inspections: ~ ---L ---'-, u ~
'e!'per FO~ Lower Footing Under Slab ,- 3 ~ At' 0
Cert. of Occupancy: CL v u
Qou!ih In ~~- al Site P.R.I.F.: I ?,J..e" f , () ()
# Charged Re-
ReViews
Additional Fees
~
C~' iARN'" (Q,-lq-ob
Reviewed/Appro d: pt. of Community Services (Date)
S;Permlts/FormS/ILP RESIDENTIAL