HomeMy WebLinkAbout06120092 Application
City of Carmell Clay Township Permit #: 0 b 1.2.00 1 ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
r70'1;Z;.1>,Z::':";i gt{ J - $} 7'
;?(~lTY: C,4/LM-l STA~ Zli~c7JJ
BEST METHOO OF CONTACT: 2' /0 0- 010(:;:'
r-ltd. WaJ /LeY-- (." - c 0 06
PHONE:
'1'i'i!,-2~]1
( PHONE:
o Co-<lt\Al{
BUILDER'S EMAIL ADDRESS:
PROPERTY
OWNER:
NAME: (!w 01. l" if- ku-
06 fV\
LOCATION
& PROlE
INFO:
)(. vol-t
-
FAX:
f.
STAlE:
ZIP:
&)2-
ESTIMATED cosr OF CONSTR cnON:
(EXCLUDING LAND VALUE) ..]& tpu 0
SEWER LmLlTY
PROVIDER: t. r /L fJ 0
NAME OF LmLlTY EXCAVATION CONTRACTOR; PlAN COM'll
NUMBERS; TAC OAlE(S); AND/OR COUN1Y WEll AND/OR
FLOOD ZONE AREA OESIG
FOR THIS PROPERTY:
lYPE OF CONSTRUCTION:
o SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
~ RESIOENTIAL(For
Additions. Remodels. Etc.)
<\ L;;~.: (C._~J '
, f1 \',
~ ~i
'- --=, I ~
i'i 1:1'
;: l d
1")"("" 1; I I i~
PLUMBING CONTRACTOR: : LJ ! I
;t/k L L____ ___J C/ I
Plumber's Indiana State License #: ~
'_._~_'____'" '_-''' n_._.._.____
At ~
rJ/r-
lYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM AODITION(S)
o PORCH AODmON(S)
~ DECK AODITION(S)
o REMODEL . Which plumbing codes will be applied to the construction:
_ Basement Finish only
o ACCESSORY BUILDING 0 International Residential Code w/Indiana Amendments
o DETACHED GARAGE 0 Unifonn PIUmbing~O Indiana Amendments
o ATTACHED GARAGE rur Po'..l.... Dn<..:>;,~
o DEMOLmON ~ <U
PROJECT INFORMATION: FOUNDATION lYP. eck all that applv for the ew
Early Release ~ Manufactured ~nstruction area) / /
Permit: Y Trusses: _Y --CRAWLSPACE f!!f POST& BEAM V PIER
Lot Split: _Y _ Sump Pump: _Y 0 SLAB ~ BASEMENT (WALKOUT:_Y_N )
For Single Family and Two Family dweljjliSUffiJ~~FWi~~ ~ktP':~sory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the buil41>>iHlf:mP~J}i1\ist'1)e ~Oin:Pleita.~<tdn:lfIc@q+;upancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to the Gener'al"AdlnhU~th.t1~rR\ireS6fl.h~~t\lt,SR'H..~i"ffift~ e 75 lAC 12) regarding expiration time frames for beginning and
_ of Statio and 'l"tJl!'!ffins,W~lHtcil~ - 0'
I, the undersigned, agree that any construUifWfhf~1jI:Ulft~n) F.Q.l~Wfrn.ent~1'o't'at!Oa.'or alteration of a structure, or any change in the use of land or structures
requested by this application will comp~'i4t~, ap.~~oI!.ronl1tO, :.Wapt>'iCh1JleualV8m' ~t ~lQdiana, and the"~ OrdlnJ.nceuf Cannel Indiana - 1993" (Z~
289) and amendments, adopted under a&Hclrily M-Uc. G6,.Xt~ M~~nerp:..ts*t;pbly p{ ~~ tate'dfIndiana, rActs amendatory thereto. rther certify that only
kitchen, bath, and floor drains are connected to the sanitary seVj,..r, )..~!t!<~t"fertift ~y S~tio . not be used or occupied until a ertlfica.te of
Occupanc has been iss the De ar onimuniij~Aumel,Indiana. ,. ,
~IV'(J /-;A/I -- /;: S'J- 1~4-f ;f, 6
""Ie
Print
OFFICE USE ONLY: ***********************************************
Filing Fees:
_.INSPECTIONS REQUIRED:
Under Slab
Base Inspections:
Cert, of Occupancy:
P.RJ.F.:
Lower Footing
Reviewed/Approved: Depl. of Com
S:?ermlts/FormS/ILP RESIDENTIAL
Final Site
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Additional Fees
(Date)
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