HomeMy WebLinkAbout06080025 Application
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City of Carmell Clay Township Permit #: ~'Q~~?'S'"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
6]
ZIP
U J '7--
STREET ADDRESS
If
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTILITY
PROVIDER:
NAME OF UT1LITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TY~CONSTRUCTION:
~NGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~EW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
FAX
SrO-C>
CIlY ",__P~:_TE
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BEST METHOD OF CONTACT:
S- D-~3r:P.
PHONE
FAX
STATE
IP
"6]J>
ZONING:
, 0 'Z..--
SQUARE
. FOOTAG~=!'rtL-
ESTIMATED COST OF CONsTRUCTION; .::- I_":'::'':::~l \ \
(EXCLUDING LAND VA~~';)! ! i !
I;;
II'
'I'
cP,,5J>c; D()oR'Tl
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code w/lndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release ~Manufactured ~
Permit: Y N Trusses: _ Y _N
~ /' 0 CRAWLSPACE
Lot Split: Y =N Sump Pump: ~Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y v-f(
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
issuancc datc., Class I structure permits are SUR'ec. togh~ encral Administrative Rules of the State of Indiana (See 675 lAC. 12) regarding expiration
~Q~~ IJj^ ~ for beginning and complcring construction.
I, the unclers, . t ~ M', enlargement, relocation, or alteration of a structure, or any change In the use of land or
structures requ ,ed t s app canon'\ camp y with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under-aurl1ority ofrC:-36... et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, ndThor drains are connected t he sanitary sewer. I further certify that the construction will not be
used or occupied until a Certificate of Dee ancy hi be;; i1ed by the Dep", me~C::;::ices. Carmel. Indiana. '7/ 2.J:- / H
rint Date' I
/
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FOUNDATION TYPE: (Check all that apply for the new
construction area)
o BJST & BEAM
c:!r"'""BASEMENT ,,/
WALKOUT:_Y~N
Filing Fees:
Base Inspections:
Cert. of Occupancy:
Under Slab
~
P.R.I.F.:
# Charged Re-
Reviews
Additional Fees
- 1-()6,
(Date)
I~
\iewed/App Dved: Dept. of Community Services
\1ts/Forms/ILP RESIDENTIAL
,