HomeMy WebLinkAbout07030165 Application
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTIlITY
PROVlOER:
City ofCarmellClay Township Permit #:/)1030 I~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
NAME:
---t},
taADDRESS: So LL't--hmS-t-un !tv c...
PHONE:
35~ qOC):J.,
Is
FAX:
~5;)-q()"t?
~ IP: ~O~
@.[iQ.s
\ -e.r-
BEST METHOD OF CONTACT:
, ClW\.. 0YI~
P';:!1/' 0- ~ +
FAX:
STATE:
..::nv
ZIP:
SECTION:
1-
'3;;2.,
ZONING:
51
SQUARE
FOOTAGE: ;l 01 0 Sj::
~
ESTIMATED COST OF CONSTRUCTION:
(EXC,LUDING LAND VALUE) i'j 10 000
Subject to compiiance y;ith all regulations
Etl'rt5~'5J1vlMUNITY SERVlyES'
Plumber's Indiana State License #:
o
o
o
o
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Unifonn Plumbing Code wi Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the' new
construction area)
o CRAWLSPACE cp/POST & ~M ~PIER
o SLAB 0 BASEMENT (WALKOUT:_Y_N )
PROJECT INFORMATION:
Early Release / ~
Permit: _Y _N
lot Split: _Y XN
Manufactured
Trusses:
Sump Pump:
Y VN
-~
_Y_N
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 -1993" (Z-
289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, b th, and floor drains are c nnected to the sanitary sewer. I further certify that the construction will not be used or occupied until a CertiBcate of
Dc up has been j'Sue y t Depattrnent 01 Conunumty Semees, :6~~~ f1 Sc 0 J~o..:) 3/a 2> 107
Pnnt Date I
OFFICEUSEONLY:******************************~~*******************~tf**3fzr******************
INSPECTIONS REQUIRED: Filing Fees: . ,- 0 5 tJ
B I ct /,6 {; # Charged Re-
otin Lower Footing Under Slab ase nspe Ions: " "r3' ..r{} ReViews
Cert. of Occupancy: _ 2 J'
Meter Bas~na;'"
~
,
P.R.I.F,: Additional Fees
y~/1f}k?f to
:>-Z7-t/7
(Date)
Fee Received by:
Date