HomeMy WebLinkAbout06100086 Application
City ofCarmellClay Township Permit #a//)Oof?~
I
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
,
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
s
LOCATION
&. PROJECT
INFO:
SEWER
PROVIDE :
PHONE:
6 6-
36Q~rn1
STATE:
ZIP:
FAX:
cm:
STATE:
ZIP:
SECTI N:k
ZONING:
'2,1
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD ZONE AREA DESIGN
FOR THIS PROPERTY:
!A/tS had eel ~,
TYPE OF IMPROVEMENT:
~ STRUCTURE
b" ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
Basement Finis'"
o ACCESSORY BUILD'
o DETACHED GARAG
o ATTACHED GARAGL
o DEMOUTION
TYPE OF CONSTRUCTION:
~NGLE FAMILY
~ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
lot Split:
~_N
Manufactured
Trusses:
Sump Pump:
N
f!J!rBING CONT~CTOR: .
~YJ'1m rr~n0 ~ ~
C"P'/ OdO(;ta6li7i/ #';
~-~IUmbing codes will be applied to the construction:
~ ~ational Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
,
I
FOUNDATION TYPE: (Check all that apply for the new L
construction are~JII ~I Yl\"6h€db~mro/ /~t1)
o CRAW~ACE 0 POST & BEAM PIER
o SllIB ~MENT (WALKOUT: Y QJ)
For Single Far:.B1y~~C)~rerUYm~MiHR~~~fb).&d/or accessory structures, this permit is valid only if construction commences within 180
days of the date of iSSU~~a~ 9p)ldingp~ ,Wg mustEle completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure penp.l~u "e,s;,t W 'tJliGe'fre\:'at'ACfihhh.9s'ttiiave Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
Ur::r-I r GOMMUNITY SERVICESmple'ingwnstruction.
I, the under~~~tel11 c i~jt"ej\~~\%tf~~f~nt, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this apphcation wit co ltft;"intrHmfbhorl YcY, h'M~Hible laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana -1993" (Z~
289) and amendments, ad~pted und t NAI.e. 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
Dee ;mcyhas been issued by the Department of Community Services, Cannel, Indiana.
/8 /C? /CJy
Date
OFFICEUSEONLY:******************************************************~************************
INSPECTIONS REQUIRED: Filing Fees: J' :6, J c)
(upper Footini(Lower Footin!) Under Slab Base Inspections: c:2'? 7. : 0
~ ~ I Cert, of Occupancy: S 3 J 0
~o-;~("!eter ~inal Site/'" P.R,I.F,: / J .
I
(Date)
S:Permlts/FOfllls/ILP RESIDENTIAL
# Charged Re-
ReViews
Additional Fees
30
Date