HomeMy WebLinkAbout07010042 Application
City of Carmell Clay Township Permit #: 010 I ~ 1 J-
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 UTIlITY
PROVIDER:
NAME:
STREET ADDRESS:
FAX:
STATE:
ZIP:
SECTlON:
ZONING:
ESTIMATED COST OF CONfuutrrON~-->' ,--
(EXCLUDING LAND VALUE) ~ \ l!::-:c' , ,-I
!II :Ir---
1m~~Ni
TAX MAP PARCEL ~I U t..
:ji___~_. __ _ _______.J
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NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; lAC DATE(S); AND/OR COUNn WELL AND/OR SEPTIC PERMIT "S (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTI N:
SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
-y~
-y~
o CRAWLSPACE 0 POST &C'TlP~M _PIER
o F R~X\?~~lQt\el'1ll-Y~N)
For Single Family and Two Family dwellings, additions, remodels, and/or accessory strucQ.lf~,Wbt}\016lB an~~ .s~y. ~tfl tiafJ.' ~?~.s~es within )80
days of the date of issuance of the building pennit, and must be completed (Certificate ORYc~llPan9l'f.~'ate..amm ~~o s~~ate. Class I
structure permits are subject to the General Administrative Rules of the State of Indiap.a (See 675 lAC i 00' thh~~...s,~\pming and
completingconstructiornEpl 0, r,t t>,.'{ 10\l\l\~
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or altedf~.o~t!:I1f'l'!~~HarIlSe"ffi. tlie use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the StateG\'z\d'Ln\:l~nd"nie ~Zo~~~of Carmel Indiana - 1993" (Z'
289) and amendments, adopted under authority of I.c. 36'7 et seq, General Assembly of the State of Indiana, and all Act~lamenOatory thereto. I further certify that only
kitchen, bath, and floor draitHi are c cted to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancyhas en issued by the par t Community Services, Cannel, I diana.
Lot Split:
TYPE OF IMPROVEMENT:
ib. NEW STRUCTURE
~ ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o OETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Manufactured
Trusses:
v{N
0=N
Sump Pump:
AI - -
f'." .7
,
j
. -,~ - ....
Plumber's Indian>>,State Liceie #:
Iv/?7
_ Wh.5Plumbing codes will be applied to the construction:
.~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code w/lndiana Amendments I
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Signatu~ of
(LW
J3-lJ7
,
OFFICE USE ONLY. *************************** ****************************A*************************
F,I- F . () C::.G ..yO
INSPECTIONS RE UIRED: I mg ees. . -:::::
~ -- . - Base Inspections: d 77 J IJ
pper Footmg. ower Footm Under_Slab -=:-3
E:Y Cert. of Occupancy: ~ - ~
Meter Basii/ Final Site .~/ /,;z / / () 0
________ P.R.I.F.. _ C:> _
. -$7~o --:: /.7 __:tOJ~ % co2 f sf Llo
(Date) (~.
Print
I
Date
# Charged Re-
Reviews
AdditiDnal Fees
Fee Received by:
Date