HomeMy WebLinkAbout06090108 Application
City of Carmell Clay Township Permit #: (JJ DC} 0 I 0 f3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
NAME:
STREET ADDRESS:
PROPERTY NAME:
OWNER:
LOCATION
&. PROJECT
INFO:
CITY:
STATE:
I
ZIP:
" a7f1
SECTION:
3
ZONING:
s-
SQUARE
FOOTAGE: IS 10
ESTIMATED COST OF CONSllWCTlON:
(EXCLUDING LAND VALUE),,_ 3 _
SEWER UTILITY
PROVIDER: C. To . p PROVIDER:
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR CDUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERlY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
/ time:
~ RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
-y .(ry
_Y~N
Lot Split:
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o AfECK ADDmON(S)
~ REM96EL
1. Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
-4_N
~Y_N
':--->\'ih
'I" (-- I
:\'-.,'1
TAX MAP PARCEL #:, I r", \ \
!,: I' SEP 2
.II ,I,
'Ii II.
PLUMBING CONTRACTOR: ,,:
! c____
J'&J f. SMiTH I
Plumber's Indiana State License-#:---~".
1 2006
101777
Whi9YPlumbing codes will be applied to the construction:
~ International Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPA<;> 0 POST & BEAM _~
o SLAB M" BASEMENT (WALKOUT:_y-.LN )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction corrunences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are SUbject~to the Generuaal Adminisitrativ~e RQules.f It. :~~:~~o~.ee 675 IAC 12) regarding expiration time frames for beginning and
I, the undersigned, agree that a _.. n c . . . on, or alteration of a structure, or any change in the use of land or structures
requested by this application wil '. f ,I phcao e laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993''' (Z'
289) and amendments, adopted un er authority of LC. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
o upancyhas been issued by the Department of Corrununity Services, Carmel, Indiana.
. a. . . lott'l A. 8;4l.hSotJc;.-~;/II~ 9}~ IfDlD
Print Date
OFFICE USE ONLY: **************************************************7*********=t\*** ****************
F"I- F . ? 3 :) U
INSPECTIONS REQUIRED: ling ees. . ,:.,/ ,
. . Base Inspections: ) I ). () 0
Upper Footmg Lower Footmg Under Slab (.--- 0
r:: -'-- . n'C-:: r;.:~ Cert, of Occupancy: , .,,-0, J
~OUgh II~/) Meter Base ~ Site
P,R.I.F.:
# Charged Re-
ReViews
Additional Fees
J..-.--r
ReViewed/Appro ed: Dept. of Community Services (Date)
S:Permits/FormsjILP RESIDENTIAL