HomeMy WebLinkAbout06120066 Application
City of Carmell Clay Township Permit #: (tJb I ;zoot/'"
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER
OF
RECOR .
NAME: ow/;~/f1r
STREET ADDRESS);p :) If I-e;
BUILDER'S EMAIL ADDRESS:
LOCATION
&. PROJECT
INFO:
LOT #: q
ADDRESS OF CONSTRUCTION:
SEWER UTI
PROVIDER:
~
PHONE:
1/33 - 05"6(
STATE:
J/C':/~-r;/c/
ZIP:
-/,/
FAX: ;J~tf -.r33
/'
>tfo ;/ -
BEST METHOD OF CONTACT:
FAX: 2 'f [1-tLJJ .J
PHONE']] 3 -(JeJoo;
CITY:Wt)f(;e~ !irATE! IV
SECTION:
ZIP:tj{o7j
ZONING: .s: - /
SQUARE
r---~-~-FOOTAGE7o"3-y..
ESTlMATED qO~:LqF'1'CONSTRUcnON:- ~--"---'''1 I
(EXCLUDING ~~D VALUE) 00;. f~ 0
Vi"II I': r!l
vVue i '(7, 660.0
i \?- '
Ii
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / SPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUcnON:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
'",<; RESIDENTIAL (For
" Additions. Remodels. Etc.)
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
~ REMODEL
X Basement Finish only
o AcCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
PROJECT INFORMATION:
Early Release - / Manufactured
Permit: Y ./N ~Trusses:
Lot Split: y ~ Sump Pump:
~
~ ~/
j'i
'" ,TfJ\-I'I"";PARGELC It: '>, '
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""~tUM"~NG,~?~!fiAfTOR:."",(}'~;(~:?
, ;;~~~~n:;;,g~~6~!: ~(l/I~~/'J
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Which plumbing codes will be applied to the construction:
I
o International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB .i1Q. BASEMENT (WALKOUT:_ Y.LL-N )
'~..
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'''''''.
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. Class 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 -1993n (Z'
289) and amendments, adopted under authority of LC. 36'7,et.seq~Gener31Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the .sariiGry sewer. I further ~ hat the construction will not be used or occupied until a Certilica.te of
Decu 'Y has been issued by the Department;;"f Communit Servi~ el)p. ana.
, . .'YJ (/01'. - /J-/tj-tl-{
5 gnature of Owner or Authorized Agent Print Date
OFFICE USE ONLY: *********
** * * * * * *** * *** * * ** * * ** * * * * * * 7.ff" ~ * * ~,***** * *** * ** ** * * ** ** *
Filing Fees: . ').) {/
/ /! cO
.('3, )'0
Upper Footing
Lower Footing
INSPECTIONS REQUIRED:
Under Slab
Base Inspections:
# Charged Re-
Reviews
P,R.I.F.:
Cert, of Occupancy:
Additional Fees
Fee Received by:
Date