HomeMy WebLinkAbout06070065 Application
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City ojCllfmel/Clay Township Permit #: OCe 0 70D~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLIC~TION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory St~uctures
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
o SINGLE FAMILY [Q/NEW STRUCTURE
o TOWN HOME 0 I3.QO~S)
o TWO FAMILY EASED FOR eo~tJRI N(S)
# of Units: REL ' I C@wiltEl'lbmlu a \ 5
IV'" MULTI-FAMI64biect to camp la~ Qca\~~RY BU1WING
# of Units: -.1 of State an WtlAR1\li;
o RESlDENTIAIQEPT OF COMM~\:F"~~
Additions, ~15FteARMEL(bC~o\.l'iioN-- .
PROJECT INFORMATION: INDIANA
Early Release Manufactured
Permit: _Y VN Trusses: _YV N
/ 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump: _Y vii ~LAB
Does any part of the property lie within a special Flood designation area: _Y I/N
BUILDER of
RECORD:
~
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
LOT #
ADDRESS O~NSTRUCTION \
\~LQ \rf'
SEWER Ul1~
PROVIDER: L \ ~'
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSI
NUMBERS; TAC DATE(S); AND/OR (OUNlY WELL AND/OR SEPTIC
FAX
311
-(Pro
BEST METHOD OF CONTACT:
~(
PHONE
-(ffi-cBm
ern\ STATE
Lao .~. \Y\Eroi\
FAX
31'-1-723 -
4
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) !:3:1J
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e
PLUMBING CONTRACTOR:
Cb fu~kf\iml
Plumber's Indiana State License #:
\C'()llolo~
Which plumbing codes will be applied to the construction:
#International Residential Code w/lndiana Amendments
guniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o
o
POST & BEAM
BASEMENT
WALKOUT:_ Y V N
For Single Family and Two Family dwellings, additions, remodels, and/or 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 requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of qumel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of LC. 36~7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
the . I further certify that only kitchen, bath, and floor drains are connectcd to the sanitary sewer. I further certify that the construction will not be
ed 0 occupie ul. Cerull. ate of Occupancy h.s beeo ,"sued ,:~:~:~\~~PCr;;\:~tmmumty Servlces, Cacmel, IOdmn.1), I \ ~ 'OU
of OWner or Authoriz t Print Date
EUSEONLY: ***********************************************!!~*********************
Filing Fees: J /f-5 L. () 0
IN..PECTIONS REQUIRED: ' II)' 00 , 00
r:: ~ Base Inspections: U-
pper Footi Lower Footing ~nder Slab .-/ -:;( I 'i . 0 0
- Cert. of Occupancy: _ _ ~
ough In ~ B~ ~ Site ''"'') 6 0 U J.J . 0 0 Additional Fees
_ ~ _ P.R.I.F.: I.f
J TOTAL: .# 7,3/5 , 00
OO~ _' M 1t.J..., 17- J....; I! 11 /J..Ai..
Fee R eived y:
# Charged Re-
Reviews
7/Z'/c;r,