HomeMy WebLinkAbout06110043 Application
\CityofcarmellClay Township Permit #:06/ / OtJif3
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
STREjOtr
BUILDER'S EMAIL ADDRE6-th eT-te;
~ BEST METHOD OF CONTACT:
l-~5e Rel"'locleliN ,w(V\.
NAME:
890'dWOO
E/ r/J,
FAX8~~' d G:J ()
<r(;; 6 ::J
PROPERTY
OWNER:
48-/345"
STATE:
.Q).
FAX:
IP:
,
LOCATION
& PROJECT
INFO:
SECfION:
ADDRESS OF CONSTRUCTION:
1:3;)'10
SEWER UTILITY ~7 /J
PROVIDER: /f7~
NAME OF lJTlLITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGN TION(S) X / ~ .1 ~ ..J \
FOR THIS PROPERTY: l knsh.CtDe.LJ.-/
TYPE OF CONSTRUcnON: TYPE OF IMPROVEMENT:
o SINGLE FAMILY 0 NEW STRUCTURE
o TOWN HOME -p:f ROOM ADDITION(S)
o TWO FAMILY 0 PORCH ADDmON(S)
# of units being 0 DECK ADDmON(S)
constructed at this 0 REMODEL
time: _ Basement Finish only
,: RESIDENTIAL (For 0 ACCESSORY BUILDING
Additions. Remodels, Etc,) 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Which plumbing codes will be applied to the construction:
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
PROJECT INFORMATION:
Early Rele~~,,:\ /
Permit: i~ _Y ~N
Lot Split: _Y..lLN
Manufactured
Trusses:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Sump Pump:
_yXN
_Y XN
o CRAWLSPACE
o POST &
BEAM _PIER
'!l(l SLAB 0 BASEMENT (WALKOUT:_ Y _N )
For Single Family and Two Family dwellings, additions, r~~Ybtdi'Qr,accessory structures, this permit is valid only if construction conunences within 180
days of the date of issuance of the bUildil'n ~lJ\n!ii'1i~'ec~11te~ertificate of Occupancy issued) within 18 months of the issuance date, Class I
structure pennits are subject to aGe, ~~. ~ ~d~~4-Jti~~!3JilU ~the St.ate of Indian~ (See 675 IAC 12) regarding expiration time frames for beginning and
~. . j . . . ~ II Q '" completmg constructIOn.
I, the undersigned, agree tha '~~ lio ,reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z'
289) and amendmen pted under auth of r.c. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bat drains are c ed to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occup eDepartm erv> 'b/;/#,Cr~dR~ ///oe/o~
Print
Date
OFFICE USE ONLY: ******************************~~****** .************/b~***~O*****************
INSPECTIONS REQUIRED: FIling Fees. .-' . -
r- . :;: ~. Base Inspections: .-::J- if;;)..., o.g
(UDDP F'nn !J:::'> Lower Footing Under Slab _____ 2/
Cert, of Occupancy: V. J .
CROugh In ) Meter Base 'nal' 5ite""'"'"
- :/ "'~~, :;t!JZ;'dOO"-
Fee Received bv: Qd; Date
# Charged Re-
ReViews
-t5~
ReviewedjAppr ved: Dept. of Community Services (Date)
S:PermitsfFormsfILP RESIDENTIAL