HomeMy WebLinkAbout04120071 Application
City of Carmell Clay Township L.rl"'~r'" b Permit #:f)LJ J;lJ)() 7/
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
NAM
STREET ADDRESS
QOC/5
. ~he.r \2d
BUILDER'S EMAlL ADDRESS
PROPERTY
OWNER:
NAME
LOCATION
&. PROJECT
INFO:
STREET ADDRESS
QOas
LOT #
\ --
('JL
\....e> Q.d
SUBDIVISION NAME
ADDRESS OF CONSTRUCTION
\ 3"'~~ 0C\C~\e..
SEWER UTIlITY WATER UTIlITY'1\'-
PROVIDER, C_:Y-\2.W{) PROVIDER: Cor-~
NAME OF UTIlITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLC),
~O.N Nt
o4.o-SMG2
FAX
8L\-ll< -4~d.L,-\
STATE
'Tn.
cm
...L
ZIP
~01SO
BEST METl-iOD OF CONTACT,
e'<\'"'O. \ \
PHONE
8t-\lQdRll<.d-.
FAX
~l.{lo ..gO-I.\-
cm
~
STATE
~
ZIP
4lodSJ
ZONING: < .
~-I
~
SECTION
Q
SQUARE I \
FOOTAGE: ,dC)'d-
ESTIMATED COST OF CO!!&'R...l!..CTION:
(EXClU~Idl!!{$\'e'!9m-OP~~C\ION
o comp lance w,t all regulations
d Local Codes.
TYPE OF CONSTRUCTION:
t5(. SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTl-FAMI
# ofU .
o RESIDE
Additions,
PLUMBI . " L / CLAY TOWNSHIP
~o.' G;c-.'1;'DIIINII .
Plumber's Indiana State Lic nse #: .
\~'5CjoC1
Which plumbing codes will be applied to the construction:
~ Intemational Residential Code w IIndillna Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction COde)
FOUNDATION TYPE:
K Y N V construction area)
vi - 0 CRAWLSPACE
Lot Split: Sump Pump: ~Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y ><.. N
(Check all that apply for the new
I
o POST & BEAM
-~ BASEMENT
WALKOUT:_y-X-N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this pennit is valid only if construction cominences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months bf the
issuance date. Class I structure permits 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
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land s>r
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Cannel
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 Acts amendat6ry
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will ndt be
used r occupied until a Ci "1cate of Occupancy l,,,,.fl.\A.;" fc,sfie(f,py;tf},. ~";"I"i-mem. of Community Services, Carmel, Indiana. !
~""'\..'fh'i:.~ l: 1>.1 _..ij ~....' r.:.vv
, Of' 92B~:;!J4? ')"\) "1 c- C~rou , L~IO -D"-'L
FOltPiCI(-iJP Date
OFFICEUSEONLY:******************************************!!1***************************
Filing Fees: ,L'l;;J. . ~ a
INSPECTIONS REQUIRED:
';;;upper Fo~g Lowe{footi~g Under Slab Base Inspections: ;J.,h (). tJ 0 # c~:~ge~Re-
'-..:' ~U, ''9 SD I) ^
- Cert. of Occupancy: __ . _ ~
(].ough'I~eter Ba~ (Final ~) ,A:"'" 1. () ()
- P.R.I.F.:...J ~__
1P.! to ?. 9. ;;. 0
-/u"O.$'
Additional Fees
f~
11