HomeMy WebLinkAbout07070209 Application
CityofCarmellClay Township /840A permit#:{)7fJ70?- Or
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Ho"'0RlOO>~ New Structures, Additions, Remodels, &. Accessory Structures
,
,
,
BUILDER
OF
RECORD:
NAME:
FAX:
STREET ADDRESS:
PHONE:
8440 Allison Pointe Blvd. #200
Indianapolis, IN 46250 CITY
STATE:
ZIP:
BEST METHOD OF CONTACT:
J, {!{)rnJ
PROPERTY
OWNER:
NAME:
PHONE:
FAX:
STREET ADDRESS:
em:
STATE:
ZIP:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
i;lIl TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
SECT10N:
0/LJ
IN 4/.;03:J
ZONING:
LOCATION
&. PROJECT
INFO:
~gg~E: ~~f30
SEWER UTILm /) /l ! ,.-v, , t! WATER umm 7 /!
PROVIDER: LLlJ(j / LJ:.-A.-. PROVIDER:. C0~L
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAe DATE(S); ANDIOR COUN1Y WELL AND/O EPTle PERMIT #'5 (IF APPUCABLE):
FLOOD ZONE AREA DESIGNATlON(S)
FOR THIS PROPERTY:
PROJECT INFORMATION:
o
o
o
o
Which plumbing codes will be applied to the construction:
){J International Residential Code w/Indiana Amendments
o .Uniform Plumbing Code wI Indiana Amendments
Early Release
Permit:
FOUNDATION TYPE: (Check all that apply for the new
construction area) I
o CRAWLSPACE 0 POST & BEAM _PIER
, Manufactured X
_Y ~N Trusses: _Y _N
Lot Split: _yiN Sump Pump: _y--i-N J'lSLAB 0 rB~SE~ENT(WALKOUT:~_ Y_N)
.. .. . ~1_'.Ii.=,,rr<::,.ti~-'''n'i\,,~.r-,j
For Smgle Family an.d Two Famdydw~Jl~ngs. add~tions, remodels, and/or accesso~ structures, thIS pe~mit is vali.d:~l(Iy' f con~t~ctlo~~2~e~~es ~.i:hip;I~O., :
days of the date of Issuance of the buildmg pemut, and must be completed (CertifIcate of Occupancy Issued) Wlthm IB,'monthsof thelssuance.aate;:Class I, \ I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regardirig ~x'pifation time frames for beginnirig :rndll
. .' completing construction. . II f\\1 I . ,.. "f"o I i I ! I
I, the undersigned, agree that any construction, reconstructlon, enlargement, relocation, or alteration of a structure, or any ,diaj1ge m ~~e of.la&:i ol~friictur~; I I i
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning' p~~*ance of Carmel Indiana ~1993'" (:?> ! J I
289) and amendments, adopted under authority of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amerid~tory thereto. I further certify that ~nly I
kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be u'sed or occupied untmi-Certifi'cate oFl I
Dc rpancyhas been issued ~y.the D artment of Community Services, Cannel, Indiana. 1__/ I
L tJf!4tJtJM I-I-IA/JHAIA/ ---7~8--vc;-
Slgpture 0 er or uthorized gent Print
Date
OFFICEUSEONLY:*********************************************************************************
INSPECTIONS REQUIRED: Filing Fees: 032. no
F t L F t. Base Inspections: ?~ 7, ,~O
er 00 ng ower 00 Ing
~ ~ Cert.ofOecupancy: ,-SS,-50
ougb: n IJII~ _ inal Site....... C- } '7 _ 0 C\
P.R,I.F,: '::,d_f~.~ . ~
0L. rfJJJj- AL: ISO
Reviewed/Approved: Dept. of Community Services (Date)
# Charged Re-
ReViews
Additional Fees
S:Permits/Forms/ILP RESIDENTIAL
Date
Fee Received by: