HomeMy WebLinkAbout07050077 Application
o~iJ~< --, City of Carmell Clay Township Permit #: 01 a 5"0 e> 1l
'.: :: RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATIO
"n., 0" For Single Family, Multi-Family, & Two Family: New Structures, Addition~,!.~,!!~dels, & ACce~,!, ~tructu~es .
:~~~ED~Of NAME ~fv1 HO>>1~ PHONE 311-45ol~G _~~.FrJ~~; II \:./ Gt/IC(I\lli
STREET ADDRESS CfIY r~TEMAY
S-2.~L -Lv Gum "J 1
I
fAX
CnY STATE ZIP
J Q;..YV\\<0'\ rrJ b03"2.
j SEmON ZONING: "'S
Glib rr
r~ 4&03'2 SQUARE 7q:v b
FOOTAGE:
PROPERTY
OWNER:
NAME
4V\ '",-
STREET ADDRESS
LOCATION
& PROJECT
INFO:
SEWER UTILITY
PROVIDER: ct
NAME OF LmLTTY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
at SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTl-FAMIL Y
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
rn"
o
o
o
o
o
o
o
NEW STRUCTURE
ROOM ADDmON(S)
PORCH ADDmON(S)
REMODEL
ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
BEST METHOD
,.
ON[Acr:
~L.<
v.-JillS
PLUMBING CONTRACTOR:
S-J..JI'..fI f(ul'hk>,'~
Plumber's Indiana State License #:
CP~IO S'S'3L.~
Which plumbing codes will be applied to the construction:
az" International Residential Code w jIndiana Amendments
o Uniform Plumbing Code wjlndiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
~ ~._., FOUNDATION TYPE: (Check all that apply for the new
a.r!y, Release ./ Manufactured Jr
"f~ -.Awl... construction area)
eenDii!:\,-- Y 7N Trusses: / Y _N 0 CRAWLSPACE
I;.Ot!Spllt, Y -,--N Sump Pump: -",-Y _N 0 SLAB
Does any part of the property lie within a special Flood designation area:
~J&BEAM
ENT
'^~ <\v\'If- ALKour A
Ie" .
For Single: Family and Two Family dwellings, additions, remodels, and/or accessory struCf.8~hl~~~ . . s..~\quction commences
within 180 days of the date of issuance of the building permit, and must be comp!~~~':~~\~~~~~f- .~S':\...~~Plln 18 months of the
issuance date. Class I structure permits arc sub~ect to the Gcneral.Ad.ministr3H~~ ettJt-~~ ~1l(la ~€fS'AC 12) regarding expiration
time frames for begmnmg a~R,~~ ~:J~1\~ \ ~
I, the: undersigned, agree that any consrruction, reconstruction, enlargement, re . M, or<ilt~;~~.f ~~J\rut""~ ~r any change in the use of land or
structures requested by this application will comply \vith, and conform to, all app lCable l~'~h ~Qi~\f'hd the "Zoning Ordinance of Carmel
Indiana - 1993" (Z~ 289) and amendments, adopted under authority of LC. 36~7 c( sCSh.~);al ''6 'o(;;h.\}\'j1c of Indiana, and all Acts amendatory
thereto. I further ccrtify that only kitchen, bath, and floor drains are connected to thV,!fiy:;ft ewer. I fUl\her certify that the construction will not be
used or occupied until a Certificate or Occup.mcy has been issued by the Depar'O~t'\)rcommunity Services, Carmel, Indiana. .
/----=-- /~, y,..f;y) 4 M,- 5/to/v7
Signature of OWner or Authorized Agent Print . ../ Date' ' I
OFFICE USE ONLY: *** ******* **** ****** * *** **.~ ****** *** *** * **** ***''*/*~*& *0*** **** *********
Filing Fees: t../ 7" <
INSPECTIONS REQUIRED: 7// <' A()
Base Inspections: -,-Z.Y (/
Under Slab
Cert. of Occupancy: cSs. -51J
P.R.LF.: /02 (I. (/0
c ~~t"07rf'/CJ,/O
Fee Received by:
Site
N
# Charged Re-
Reviews
Additional Fees
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