HomeMy WebLinkAbout06110140 Application
City of Carmell Clay Township Permit #: 0<01161 L{. 0
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:
SEWER LfTILITY
PROVIDER:
PHONE: FAX:
3S-
STATE:
~J..I
BEST METHOD OF CONTACT:
I. ,u.:f 'A-o N E
ZIP:
(,
PHONE:
FAX:
STREET ADDRESS:
3() I
LOT #: f)
-1"3 r'1-
ADDRESS OF CONSTRUCTION:
; 3D'1 , t /~
C WATER lJTILIJ'<
~ rntvL PROVIDER: C;Jlt. J?'l tL-
~~(
ZIP:
'16 33
ZONING: S .1..
SQUARE / j
FOOTAGE: '/8' 7,1J4
NAME OF lJTlLfTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FLOOD lONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
/time:
P' RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release / / /..
Permit: ~y _N
Lot Split: _Y ~
TYPE OF IMPROVEMENT:
o NEWSTR E
o R DITION(S)
ORCH ADDmON(S)
o DECK ADDmON(S)
~'~DEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
Sump Pump:
_Y~
_Y v1J
PLUMBINGiCONTRACTOR:
,
Plumber's Indiana State License #:
._r.?Cr~E~',,-S~D _i~:C;.P f ~""~":"?~:-:'~~:~7,,'~~'~~!I ,,;:.'
Which plumbing ~d~~(.tiili'b~i'~PP.'ffeaun:tie'ConstrUcti~n_:: . "~-"" :-c ";,~
o Intemation~lf!.esj~e';~~i~~4~ .v.;Zi~diariaAmenilments
o Uniform PlU~bin9C;O~~W/i/ldiari~ Ain.~;;~;;;e~t;;T('
,- " ..,-. ':"."!'-':'~;:.;i'.:,~. i C;"Z;':/ "rr~:.\',~:'~,\;":._;.;>'~':,.
FOUNDATION TYPE: (Check ~II> t>~~t,appIY for the nel,J" , ",-
construction area) U --. ~
o
o
CRAWLSPACE 0 POST & _ BEAM _~IER
,
SLAB 0 BASEMENT (WALKOlJT:_Y_N)
I
I
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. ClJss I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction. '
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "'Zoning Ordinance of Carmel Indiana - 1993~ (4)
289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify tha~ only
kitchen, ba and floor drains are connected to the sanitary sewer. I further cert' that the construction will not be used or occupied until a Certificate of
Occupancy as been issued Yo e Department of Community Services, , arme ,Indi a. '
J>
,
Prin
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~r~~~i*J3*~~S*O***i***
/ / I, (1 (; # Charg~d Re-
ReViews
Y35C
OFFICE USE ONLY: **************************~t6~~*******************
INSPECTIONS REQUIRED: (/ \1-\ FIling Fees:
Upper Footing
~Ug~
Lower Footing Under Slab
Meter Base 8 Site
Base Inspections:
Cert, of Occupancy:
P,R.I.F.:
/
Additional Fees
- WJb
(Date)
Review
Fee Received by:
Date