HomeMy WebLinkAbout08010087 Application=0`??r ?DF,`
"' W w City of Carmell Clay Township Permit CAN
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Town Home, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER NAME: PHONE:
- D FAX:
OF
RECORD: STREET ADDRESS: STATE: ZIP:
BUILDER'S EMAIL ADDRESS:
T BEST METH OF CONTACT ,
PROPERTY NAME. PHONE: FIT I :
OWNER:
STREET ADDRESS: CITY: J Y ; j 2 -? 07, , TE. ZIP:
LOCATION SUBDIVISION NAME
: / /
LOT' I By N: ZONING:
?
_
/ /?
& PROJECT `?
?
t !
INFO: ADDRESS OF CONSTRUCTION:
2
4 ?'t SQUARE
FOOTAGE:
7 U 7
5
SEWER UTILITY WATER UTILITY
W Q PROVIDER:
PROVIDER: C 71- ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE) V O O'
04
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICA BLE):
FLOOD ZONE AREA DESIGNATION(S) TAX MAP PARCEL
FOR THIS PROPERTY:
TYPE OF CONSTRUCTION:
NGLE FAMILY
C TOWN HOME
C TWO FAMILY
# of units being
constructed at this
time:
0 RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OFIMPROVEMENT:
E?"EW STRUCTURE
O ROOM ADDITION(S)
? PORCH ADDITION(S)
O DECK ADDITION(S)
O REMODEL
_ Basement Finish only
O ACCESSORY BUILDING
O DETACHED GARAGE
O ATTACHED GARAGE
? DEMOLITION _ffm PLUMBING CONTRACTOR: -
R, 9 I 7%
Plumber's Indiana State License
-57
Which plumbing codes will be applied to the construction:
C?'Intennational Residential Code w/Indiana Amendments
I] Uniform Plumbing Code w/Indiana Amendments
FOUNDATION TYPE: (Check all that apply for the new
construction area)
Early Release
Permit: _Y _N
Lot Split: Y
Manufactured
Trusses: Y N
Sump Pump: ?N
CE?-'CRAWLSPACE O POST & _ BEAM -PIER
0-SLAB 0--1ASEMENT (WALKOUT:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure permits are subject to the General Administrative Rules of the State of Indiana (See 675IAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change 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 -Zoning Ordinance of Carmel Indiana - 1993" (Z-
289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
Otcupanc been issued b the Department of Community Services, 1, Indiana
G- g c? -Z _: 613
Date
***************************************************?**** ************************
OFFICE USE ONLY:
INSPECTIONS REQUIRED: Fling Fees: f
Base Inspections: ???• ?? # Charged Re
Upper Foo •ng ower Foott Under Slab Reviews
Cert. of Occupancy: ?!5.
Reviewed/Approved: Dept.
S:PerrrvWForms/ILA RESIDENTIAL
P.R.I.F.: Additional Fees
CO