HomeMy WebLinkAbout06100181 Application
City ofCarmellClay Township C)UJ, I '001 ~e(mit #~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory StrJctures
BUILDER NAME: PHONE: FAX:
OF five 17 Qo3 - 770 /7 ~/5 -/"V5
RECORD: / STATE:
(;;-171<-- . /l..I
BEST METHOD OF CONTACT:
1/00 . {d",-
PROPERTY i,1"- ('it,( PHONE: FAX:
OWNER: - 77():J.-
STREET ADDRESS: STATE: ZIP:
If'ss v.r-6/~ (f,
LOCATION LOT#: SUBDIVISION NAME: t/V/ J J C~~ ZONING:
&. PROJECT c2 $16 0'1Jc < c--r
INFO: SQUARE
FOOTAGE: b SOO
SEWER UTILITY
PROVIDER: f/~
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
W SINGLE FAMILY
o 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:
Y~
Y~
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDITION(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
PLUMBING CONTRACT ..:~
-t. ,J 8
Plum e 5 Indiana State License #:
Cp/()()OO/Ol
.
Which plumbing codes will b~eNt construction: ,
Mntemationa' Re~id~IW"l:5opeil!\'LIiidflih~ A-AOn, ~J.i?
/Jt& .,uc:tJMQ.l.. r.. ,,'r~' ..lO \ <;l3Cl
o Ur1ifIltftt'Pllimlilll~~~'iJY.1f~!Iijln&Ani':?i!'"el\tS
So:l:)!iV;L_'" . ,_, "-"" ~"'W" II)
FOUNDATION TYPE:' (C~~k~iit!t";_~PPIY'for'til!fri~""
constr~~,~r..',~r~~?,!'-~i ,~::~..,".,:':~::,:::' ,_~ - ~~jlj
qJ~LCRAWLSI'AGE'o "0 -'POST & _ BEAM _PIER
~ r;K BASEMENT- (WALKOUT:_Y-XN )
,,_.,_ ,-.__1 (e
Manufactured
Trusses:
_Y~
ffY _N
,,'
Sump I'ump:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valicf~riI~jf ~orisiructioncomffiences within'ISO
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) wit~in!l~ months of the issuance date. Clas~ 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 arid
completing construction. \ \ \ \ \ \ n rl 2 5 2(/: b _ ,I 11\'
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or ~Py ~h~nge i1{ the use of land or structur~s ,:..,j
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zontn~ O~inance of Cannel ~~?!:'!1.)0l_:: 1993': (Z' \
2~9) and amendments, ado~ted under author' of I.c. :6-7 et seq, G~n.:!,al Assem.bly of the State of Indi~na, a~d all Acts\ amendatory t~ereto. ! further .c~rtify that only\
km.:hen, bath, and fl r drams are con ct 0 the sal}!tary sewer. I fUriliel'ce;rtify that the constructlOn will not be ';Ised or occupied until a Certificate o~ .'
Occupanc as en issued by the e entofCommunityServices,Carm Indiana. I ____.._...-.-
. J.PI,L j IA...)- /0(2s/oL
Date /
# Charged Re-
ReViews
Cert. of Occupancy:
P.R.I.F.:
Additional Fees
Site:)
~
Rev' ept. of Community Services
S:Permits!FormsjILP R IDENTIAL
Date