HomeMy WebLinkAbout07070212 Application
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City of Carmell Clay Township Permit #: 0 7 0 7 () '), lot
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, 'a-~~Elfew Structures, Additions, Remodels, & Accessory Structures
BUILDER
OF
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
NAME:
STREET ADDRESS:
FAX:
PHONE:
844.0 Allison Pointe Blvd. #200
Indianapolis, IN 462SQ:m
STATE:
ZIP;
STREET ADDRESS:
FAX:
cm:
STATE:
ZIP:
ZONING:
SQUARE 1)7 J /-
FOOTAGE: 01 l.fj
SEWER UTILTTYI1 /'l, ,. ........,... _ A WATER lJTILfTY /) /'l ~ J 17
PROVIDER: UL/LI! LLL PROVIDER: l:..1l_/I../ I u.x-
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLJCABLE):
FLOOD ZONE AREA OESIGNATION(S)
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
rjJ TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
Early Release
Permit:
PROJECT INFORMATION:
Lot Split:
_V1LN
_VJLN
~ 56/
~ illl ~
~/c... 9~ 'Ie .o~
@ $Oa. ~:-
'1..
...~6'
TYPE OF IMPROVEMENT: PLUMBING CONTRACTOR:
ci. lI~W~~UguJl.E L/JrLrnr'lJU
RiEJLiROOM,ADiliI::<<lN(SYNSTRU~s in:Ii'na State License #:
S@j~!l:P:l(!\~!!IiTJIQl'/(!i)lth all regulati~J1S ') /)/1N1:5 n
o DESf'(\Q.!lffiq~!..~cal Codes. L(d,-~LdI.LI!-,,_ ---L
DflpfEBf~~~Atf'FIn!W'Jri{ySERVteES~bing codes will be applied to the construction:
CI"PI' (!llX~lW~Yi !!.~~DIJ!gW To~tjonal Residential Code w IIndiana Amendments
g ~~A~~~g OOg~A 0 Uniform Plumbing Code wI Indiana Amendments
o DEMOLITION FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses:
x: V N
VLN
o CRAWLSPACE 0 POST & BEAM ~PIER
)It SlAB 0 BASEMENT (WALKOUT:~V_N )
Sump Pump:
For Single Family and Two Family dwellings. additions, remodels, and/or accessory structures, this permit is valid~nly if construction commen~e~within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) withinl8 ~onths-6f th~ i~s~~ct; ~t~~',CI~;I -
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regard~~g e~pir'a~~~i:!!!i~:~ames f6r",begmrurig ~d.
completing construction. : ' L/ ) I --I II 1
I, the undersigned, ag.ree .that a,ny construc~ion, reconstruction, enlarge.ment, relocation, or alteratio~ of a structure, or rrt~~a.?ge in the use of land. or S(ructu~e;s. Ii'
requested by thlS apphcatlon will comply WIth, and conform to, all applicable laws of the State of Indiana, and the >>Zonmg Oidmancep4 farI!!,el tndtas:a)7 1993 I (Z~ I I!
289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and all Acd ainendatory'tlMfeto. I fM1:hf~&ertify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be:JJ>'edJ>c occupied until a Certificate o{i ~ ' . I
Dec rpancy has been issued y the De artment of Community Services, Carmel, Indiana, I L - . J L=.... I
' &-;/)A!tJON II-LNS;fR/~j .. 7-cJ-{J7 i
519 ture 0 Ow er or uthorized gent Print Date
OFFICE USE ONLY: ****** ***** ** *****************~~*****************?*1~.*s********************
I SPECTIONS REQUIRED: Filing Fees: ~ ~O
. ' Base Inspections: ^ <g 7 , -5 D
Upper Foo gLower Footm nder Sla . ,r L, ...,...-]0
~ ~ Cert, of Occupancy: .:2,2 ~ \
~eter B~ '1. 0
P.R.LF,:
~51-f5.-50
# Charged Re-
ReViews
Additional Fees
(
(Date)
Date
Reviewe jApproved: Dept. of Community Services
S:Permlts/FormS/ILP RESIDENTIAL
Fee Receive