HomeMy WebLinkAbout07060106 Application
City of Carmell Clay Township Permit #: Dr; 0 b 0 I O~
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:
"
LOT #:
~I
c.,. PHONE: 59J>-//7/
FAX:
~-qJ'- 377
ZI~: 03 F
CITY:
BEST METHOD OF CONTACT:
PHONE:
FAX:
'73.-()<(as
CITY:
Z,
^
, ~" "'-.; '-." '"
Sub!~ct to ~R~hce with
(f '-;f~ I
DEpJ C)I" CO~v1MlH,nY
, ... 0" !"") r-.. r: I I (""
ESTIMA1ED COST 2c,cq~~~CT10N: tvv-.
(EXCLU~ING LAND VA~tJEJ" A / ~
!i~Ir-\I\ rt.~:' ((~:;! . li'\ .-;;-;-~T-I'':~~.~-:
i;1 J I ~,:_:=_.)~_.'l ,._~, ) \ 11
TITiiYrlpARCJU#N
lr! III
PLUMBING ClON;fRACTOR:
c
NAME OF UTILITY EXCAVATlO CONTRActOR; PLAN COMMISSION I aZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
INGLE FAMILY
TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
Vi" RESIDENTIAL (For
Additions.. Remodels. Etc.)
TYPE OF CONSTRU
/,bL
Ila"'\I,
TYPE OF IMPROVEMENT:
o NEW STRUCTURE
o ROOM ADDITION(S)
\!if PORCH ADDmON(S)
o DECK ADDITION(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLITION
Early Release
Permit:
PROJECT INFORMATION:/"
_Y / N/
_Y ffi
Manufactured
Trusses:
Sump Pump:
/'
_Y~
_Y_N
Lot Split:
Plumber's Indiana.State.Liceos.e #:
Which plumbing codes will be applied to the construction:
o International Residential Code w/lndiana Amendments
o Uniform Plumbing Code wI Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPACE i;t"POST & _ BEAM _PIER
o SLAB 0 BASEMENT (WALKOUT:_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 pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure penni~ 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 constructio~onstrucrion~enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply widi, and conform to, all appITCabklaws of the State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) and amendments, adopted under I1thority of LC 36~7 et seq, General As;emb]y of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are c nected to the sanitary sewer. I further certifit4,at the construction will not be used or occupied until a Certificate of
Occupancy has been i sued by th Department of Community servi'-:;:;~d. Indiana. ~ It 3 t6 7
Print Date
OFFICE USE ONLY: ********************J'*T*'Yj"<:****** *************:i:*'***************************
INSPECTIONS REQUIRED: (/ . '..--Ell! ees: I t f. ",,'7;;J ('
--F t' Base Inspections: / "/:2 :;0
er 00 I Lower Footing Under Slab '
Cert. of Occupancy: ,-:(~. )0
P.R.I.F.:
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F~ evedbv M-t ~7
Meter Base e
Site
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