HomeMy WebLinkAbout06080050 Application
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City of Carmell Clay Township Permit #: Oc, t121oC7l'SD
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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
BUILDER of
RECORD:
NAME
For Single Family, Multi-Family, lk Two Family:
STREET ADDRESS
New Structures, Additions, R~odels, lk Accessory Structures
I "
PHONE /
8440 Alltson Polnte Blvd. cmlO
BUILDER'S EMAIPh~~; 317-806-2941 Fox 317-842.3389
PROPERTY
OWNER:
NAME
STREET ADDRESS
LOCATION
lk PROJECT
INFO:
LOT #
SEWER UTILITY
PROVIDER:
o
o
PROJECT INFORMATION:
Early Release
Permit:
TYPE OF IMPROVEMENT:
CRr NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
PHONE
CITY
STATE
z.
ZONING:
Si
SQUARE " /) III ,
FOOTAGE V.'l7 Ilf
lS~
NTRACTOR:
~~OOf'?
Plumber's Indiana State License #:
\ O'2.000'S-'
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for t1ie new
construction area) .J
LY_N
o CRAWLSPACE
Lot Split: _Y LN Sump Pump: 1- Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ~N
_Y LN
o
[g'J
POST & BEAM
BASEMENT
WALKOUT:_Y ~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 Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of r.c. 36~7 ct seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
use or occupied untO a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
. . 2uJ t 1iJfJlJA!O.JJ flJJJJI-!/fN 8-3-01./
Si ature of n r or Aut oriz Agent Print Date
OFFICE USE ONLY: ************************************************************************
Filing Fees: 9' /, 6 ()
SPE UIRED: ' ,
Base Inspections: J 71, )0
Cert of Occupancy: )3. :>0
!)()? CO
~L:(jj tJ!f!!
P,R,LF,:
Reviewed/Approved: Dept. of Community Services
S:Permits/FormsjllP RESIDENTIAL
(Date)
Fee Received by:
# Charged Re-
Reviews
1 i~d;onal Fees