HomeMy WebLinkAbout06060225 Application
Citj of Carmell Clay Township Permit #: 0 ~ () b 0 2.. ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, 8< Two Family: New Structures, Additions, Remodels, 8< Accessory Structures
STREET ~RESS ~fv-~ D jr-
LOT #.., SUBDIVISION NAME;::- k r- H. i/.. A' 'if~N
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WATER UTILry(' f)
PROVIDER: ~
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
8< PROJECT
INFO:
SEWER UTlupr' __ ^
PROVIDER: ~
BEST METHOD OF CONTACT: i3! ;
F"Iff 5S7~2&Y~
PHONE
"3 n -<(
FAX
517~l/b-mL
lfC,03:L
- 7 lf4 L
ZONING:
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTlON:
(EXCLUDING LAND VALUE)
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
PROJECT INFORMATION:
Early Release
Permit:
_Y_N
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
~ DEMOLITION
Manufactured
Trusses:
_Y_N
PLUMBING CONT
Plumber's Indiana St
Which plumbing codes will be
o International Residenti
o Uniform Plumbing Code I
(Multi-Family Construction Code)
a Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0
Lot Split: _Y_N Sump Pump: _Y_N 0 SLAB '--0
Does any part of the property lie within a special Flood designation area: _Y_N
POST & BEAM
BASEMENT
WALKOUT:_Y_N
For Single Family and Two Family dwellings, additions, remodels, andlor 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 request y this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -199 Z~ 9)" d amend ,adopted under authority of l.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. rth er" that 0 . chen, bath, and !loor drains are connected~;a~~ sanitary sewer. I further. certify that the construction will not be
used la ti. ateo[occUpanCYhaSbeeuiSSu~~ IfcspTl1€ies,Catmel.Iudiaua (12&/00
Print Da
OFFICE USE ONLY: ************************************************************************
Filing Fees: . /:3-"3. ~
INSPECTIONS REQUIRED: I 'f: r-
Base Inspections: , ~. v (;) # Charged Re-
ReViews
Cert. of Occupancy:
Upper Footing
Rough In
Lower Footing Under Slab
Meter Base Final ~
P.R.I.F.:
ReviewedjA proved: Dept. of Community Service
S:Permits/Forms LP RESIDENTIAL
Fee
Additional Fees
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