HomeMy WebLinkAbout05120016-ApplicationCity of tarred/Clay Township permit #
RESIDENTIAL IMPRO LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Acsessor~ Structures
RECORD:
OWNER:
LOCATION
& PROJECT
INFO:
NAME
STREET ADDRESS
PHONE
CZTY
BEST OD OF COI~fACT: ~--
PHONE FAX
SECTION
ZZP
PROVIDER: ~ri ~;~[T~
NAME OF UTILrfY EXCAVATION CONTRAC~R; PLAN COMMISSION / BZ~ ! i¢?/(~, .'
NUMBEP~; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~J (IF APPUCABm):~
5QUAR~
FOOTAGE:
I SINGLE FAMILY
# of units:
MULTI-FAMILY
# of Units:
[]] RESIDENTIAL (FOr
Additions, RemodeL~
Early Release ,,/ Manufactured \ J rtm~r.ction area'~
Permit: __Y _L_N Trusses: .Y ~N -I~1~-- '
· , · ' ' CRAW~P E
Lot Split. ._____Y _~N Sump Pump. __._Y _~N ~ SCLAB ~E/
Does any part of the property lie within a special Flood designatio~ar~a: __Y __~_N
NEVV STRUCTURE
[] ROOM ADDiTION(S) Plumber's !
PORCH~DDITION(S)
REM ~ ~
ACC ~ ~ !~:W,,ki~.~pI u m bi ng codes will be;
D~A~Eg ~ ;} ~~Re~dential Code wi
ATTACHED GARAGE ~~~ .
D~ZMnl mn~ u Un~ng Code w/lndiana Amendments
~ ....... (Multi-Family C6nstruction Code)
FOUNDATI N : (Check all that apply for th~ new
[] POST & BEAM
[] BASEMENT
WALKOUT: Y N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory strucmre~, this permit is valid only ff 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 675 lAC 12) regarding expiration
tame frames for beginning and completing construction.
I, the undercigned, 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, al/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 saintary sewer. I further certify that the construction ~ not be
used or ofcupied ugtil a C-~r~ca. te o/Occupant?has been issued by the Department of Community Services, Carmel, Indiana.
OFFI}FFICEE USE ONLY:' **************************************************. ~*~*
/ Filing Fees: ~ <~' {) , .Z~~'
Base Inspections: # Charged Re-
Reviews
Cert. of Occupancy:
P.R.I.F.: Additional Fees
r TOTA.L ..
Reviewed/APl)roved: DepL of Community Services (Date)