HomeMy WebLinkAbout06100135 Application
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City of Carmell Clay Township Permit #: (j(p1 O() {..::56
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME:
STREET ADDRESS:
3u(
o'lYI
~
SUBDIVISION NAM :
C h-esff~TdY\
PHONE: 117 50'l- 7'(0'0
-'JHO
FAX: 111~73'1-211/0
CITY:
C/ll'mel
STATE:
IN,
ZIP:
#o~!
BEST METHOO OF CONTACT:
,;t.e
PHONE(117)501 - 7'1(7",
-11 J(j
FAX:
CITY:
STATE:
AI.
\o~
~
ZIP:
~033
SEC1l0N:
2
ZONING:
SQUARE t
11.1. "" Z~Q FOOTAGE: .. D 7
ESTIMATED COST OF CONSTRurnON:
(EXCLUOING lANO VALUE) 20/JOO
SEWER lJTIUTY
PROVIDER: t
NAME OF UTlLI1Y EXCAVATION CONTRACTOR; PlAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPllCABLE):
FLOOD ZONE AREA DESIGNATION(~)
FOR THIS PROPERTY: (7 V t J ;;..,
TYPE OF CONSTRUCTION:
~ SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIDENTIAL (For
Additions. Remodels. Etc,l
o NEW STRUCTURE
fi!l. ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
(lil REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Early Release
Permit:
PROJECT INFORMATION:
J Manufactured
_Y -N-N Trusses: _Y ~N 0 CRAWLSPACE 0 POST & BEAM _PIER
~'t;,~t!D FO!!n;;B'I~t _Y AN ~ SLAB 0 ,BtS_Et1ENT (WALKOUT:Y~NL_
V..Gtlmr.:. n .' ",-", 1::= (( - 1'---' j' '\;; I:-=--; i'......\:
For Single Family and Two F~ily. ~~eni~g~,~a'tlditit:Jn~rbTl~rl~ accessory structures, this permit is valid ?r:y',if ~~c~~o~comnlence~~~ ,189 \ i
days of the date q(j~uance of th'ttbuildilig;pernVti ~~t be .~~pl(~ted (Certifkate of Occupancy issued) witHin 18 months of the issuance ilate. Class I \ ! I
structure permits I.l'lbJB]Fc():f~<t.~~~A~Y1tiy~Rules of the State of Indiana (See 675 lAC 12) regarding'e4ir.tion time frames for beginning.!and II
,r./Tvn ,\ ,,':' '~' I T~ERVIe.ffi&tingcon"ruction" Ilriil, neT 17 "Me !lUI!
I, the undersl~e(( ag.n.'e .t:'t6Grl;co~ll~Qpyr@~~~~El!f,rq~locatlon, or alteratlo~ of a structur;, or ~nr chat1;g~ m tM '* of anll.o:iA2t:iJdtu:es: 11 I
requested by thiS applicatIon will complYllf'~~FR4. ~qpform ~o"7'all' Yp~bl~JIaws of the State of Indiana, and the Zonmg 8rdlnance of Cannel Indiana ~ 1993 (Z' -: J
289) and amendments, adopted under aufhOtrt'}'mQ'(l:Je6,7 et seq, General Assembly of the State of Indiana, and all Acts ain~ndatbry.theret9._rJ~Iili~~tify~'onty
kitchen, bath, and floor drams are connected to the samtary sewer I further certify that the construction will not be ukd or occupied until a Certifica.te of I
Occupancyh,,; bee~Ued by the Department of Conunumty Semees, carmef5~ L UD N' E: 5 ..-----l
"gnature.f Own&., Auth.,;,... Agent ~"f>_ D.te
Lot Split:
.
PLUMBING CONTRACTOR:
f'arsl-ey E1(fmb,'~
Plumber's Indiana State License #
Pc Wi-DO J '00
Which plumbing codes will be applied to the construction:
t8. International Residential Code w/Indiana Amendments
I
o Uniform Plumbing Code wI Indiana Amendments i
FOUNDATION TYPE: (Check all that apply for the new
construction area)
OFFICE USE ONLY: ********************************************************** **********************
F'II'lng Fees: ,.@.;2..
INSPECTIONS REQUIRED:
;;;;:2,2 (] ()
)3.~O
Lower Footing
Base Inspections:
# Charged Re-
Reviews
Meter Base
P,R.LF.:
Cert, of Occupancy:
Additional Fees
pp oved: Dept. of Community Services (Date)
S;Permlts/Forms/ILP RESIDENTIAL
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