HomeMy WebLinkAbout05110079-Application Township
RESIDENTIAL IMPROVEMENT LOCATION P
For Single Family, Multi-Family, & Two Family: New Structures, Addition.,
BUILDERof -~o/,,~'~ PHil7 c/~3/~ ~
RECORD: --
PROPERTY
OWNER:
LOCATION
& PRO3ECT
INFO:
CITY
SEWER U~UT~
PROVIDER:
PROVIDER:
NAME OF UTILITY EXCAVATiON CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
TYPE OF N R N:
[] SINGLE FAMILY
~] TOWN HOME
[] TWO FAMILY
~ of units:
[] MULTI-FAMILY
tier# of Units:__
ESIDENT}AL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEM-NT:
NEW STRUCTURE
ROOM ADDFI~ON(S)
[] PORCH ADDiTiON(S)
~ REMODEL
[] ACCESSORY BUILDING
DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLiTiON
PLU. BING -Q-_T -CTOR:
d.
Plu~ndiana State Lic~
(~nternational Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
Manufactured ./- (Check all that apply for the new
Y '/' 'fusses: Y ~'N
~.~ [] CRAWLSPACE []. POST & BEAM
Sump Pump: Y *~N C3 SLAB ~BASEMENT
Does any part of the property lie within a special Flood designation area: Y o~N ~'~WALKOUT: Y~N
uctur~ permit is valid only if c
(Certificate of Occupancy issued) within 18 months of the
f the State of Indiana (See 675 lAC 12) regarding expiration
time frames tbr beginning and compleung cons~rucuon.
apphcation w~ comply with, and conform to, all applicable laws of the Stare of Indiana and the ~Zoning Ordinance of Carmel
Z-289i and a~nendments adoptedunder authori~ of LC, 36-7 et seq, General Assembly of the State of Indiana. and ali Acts amendatory
by th~artment of Co~m~nity..~jces, Carmel, Indiana.
Print J
OFFICE USE ONLY: **********************************************************************Filing Fees:-- --~~
INSPECTIONS REQUIRED: Base Inspections: /~ # Char~gea Re-
Reviews
Upper Footing Lower Footing ~ ~
Meter Base Additional Fees
R6viewed/Approve~: ~epL of Commumty Services ~-~-