HomeMy WebLinkAbout07070208 Application
City of Carmell Clay Township J. /J,J. 7 j) Permit #: 0 7616 ?Jf)%
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Ho~At:sd-klffill>tli New Structures, Additions, Remodels, &. Accessory Structures
/,
BUILDER
OF
RECORD:
NAME:
STREET ADDRESS:
PHONE:
8440 Allison Pointe Blvd. #200
Indianapolis, IN 46250 CITY:
FAX:
STATE:
ZIP:
PROPERTY
OWNER:
NAME:
STREIT ADDRESS:
LOCATION
&. PROJECT
INFO:
SEWER LJTILITY
PROVIDER:
TYPE OF CONSTRUCTION:
o SINGLE FAMILY
r1J TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
Early Release
Permit:
Lot Split:
_VlN
_V -A-N
PHONE:
FAX:
CITY:
STATE:
ZIP:
ZONING:
SQUARE 1J1JYr-:-
FOOTAGE: 0) '-I: 0
ON:
/6161 sB /
OOlU..-. () 7 7 OD1~
o
o
o
o
%J International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Manufactured
Trusses:
Sump Pump:
XV_N
_VLN
o CRAWLSPACE
o POST &
BEAM _PIER
~ SLAB 0 BASEMENT (WALKOUT:_V_N )
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid,on)y if,constlJ.lction(:ommences.within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) wi.thin 18 ~~ths'9f the-iss~an~~:ait~-~qass I
suucture pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regardiIig ekpiratiori~tiri'1e'fiaJl1_es fcir-:beginning and
completing consUUction, : ! t J; ! -- -. -;
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or ~hi~ha~ge in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zonirig Ordinanc~I~f=aIT.D.e1 iPdranil171993" (Z-
289) and amendments, adopted under authority of LC 36-7 et seq, General Assembly of the State of Indiana, and all ActS am~ndatory"fneh:to_ I fahh"Nt'ertify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be\lsed or occupied until a Certificate of .
Dce rpancyhas been issued by the Deparnnent of Conununity Services, Cannel, Indiana. I l. - --, . ; .
U; l' &;- SI/!h/JOA! If-LNS'HR/^,L 1-j-07
Sign ture 0 0 'ner 0 Authoriz Agen Print Date -
OFFICE USE ONLY: ********* *********************~~******.******************* ***~*******************
~PECnONS REQUIRED: Filing Fees. . 6 1 f 2J .-/()
B I ct ., ~/J ) # Charged Re-
U F - L F t' U d SI ase nspe Ions: C'>" / ,
pper ower 00 '"g er as:. //1 ReViews
~ ~ ' Cert. of Occupancy: .J V
Rough I Meter Base . ,ll1. AO.
P,R.I.F.. ..) ri'-, U Additional Fees
y~ fitf!!-~iY, sO
Fee Received by: ~
~
S:Permit5/forms!ILP RESIDENTIAL
Reviewed/Approved: Dept. of Community Services
Date
(Date)