HomeMy WebLinkAbout07030131 Application
BUILDER
OF
RECORD:
City of Carmell Clay Township Permit #: 070:::01.31
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY NAME:
OWNER:
NAME: OF UTIlITY EXCAVATION CONTRACfOR; PLAN:COMMlSSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNlY WELL AND/O...SEPTlC PERMIT #'S (IF APPLICABLE):
/' f'(~,--:. \\ \ y,
FLOOO ZONE AREA DESIGNATlON(S)--;~~\ 7'\~\ \ ~
FOR THIS PROPERTY: /~&._\'/ \~0. '\
TYPE OF CONSTRUciION:~V TY OF I EMENT:
~SINGLE F4MILff-/ '1.. <0 NEW'~RUCT RE
Ci TOWN HOME \'\\ ,,<;, 0 ROOM ADj)ITION(S)
o TWOFAMILY),,\ ~"\' 0/PORCIl1CDDmON(S)
# of units ~~tng;\ /0 DJCK ADDITION(S)
constructed,at thIS O/REMODEL
time: \\\~ Basement Finish only
o RESIDENTIAL (FOr 0 ACCESSORY BUILDING
Additions, Remodl.Js, E 0 DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
LOCATION
& PROJECT
INFO:
SEWER UTIlITY
PROVIDER:
STREET ADDRESS:
LOT #: 15;)
SUBDIVISION NAME:
ZONING:
ADDRESS OF CONSTRUCTION:
~~~~~E: LJ a 10
LlO (XX)
0702:01~
WATER UTIlITY
. PROVIDER:
Al
WI
TAX MAP PARCEL #:
Plumber's Indiana SltmCJ!1
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
Early Release
Permit:
PROJECT INFORMATION:
-y~
_yLN
Manufactured
Trusses:
Sump Pump:
./y N
Zy =N
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE 0 POST & BEAM PIER
o SLAB I); BASEMENT (WALKOUT:_Y~)
Lot Split:
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 pennit, 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.
1, 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 oE Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z;
289) and amendments, adopted under authority of J.e. 36'7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Occupancy beeni,"uedby heDepartmentOfcommurutYsem~~ ~(G:t? '3/15167
Print Date
OFFICE USE ONLY: * * * *** * * * * * * * **** ** * * * * * **** * * ~ ~** * * * * * * * ** * * ** * * * * * * *~*t*J{ * * 0* 't. ** ** * * * * * ** * ** * * * *
INSPECTIONS RE UIRED: FIling Fees: gIJL. a-U
~UF~ t. Base Inspections: '7"/1 (()
pper 00 In L/ ~O
Cert, of Occupancy: .5:). :::>
--mm~ eter Bas ) ) (,,1 It (5
~ P,R,I.F,: 0(. U Additional Fees
TOTA~: ,$~ f 0;(< KO
?O'rn~ :5i~/'(j/
Fee Received by: Date
# Charged Re-
Reviews
"'z5AJ'?
Revi prev. Dept. of Community Services
S:PermitsjForms/ILP RESIDENTIAL
(Date)