HomeMy WebLinkAbout05110181-ApplicationBUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PRO3ECT
ZNFO:
SEWER UTILITY
PROVIDER:
City of Carmel/Clay Township eermit /
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
FAX
SQUARE .~/ ~ ~_~
F CONSTRUCT[ON -- , FOOTAGE:"//~
NANE OF UTLI.tTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA /
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERM1T #'S (IF APPLICABLE):
SINGLE FAMILY
TOWN HOME
TWO FAMILY ~
# of units:__
[] MULTI-FAMILY
# of Units:_ []
L~IDENTIAL (For [] ATTACHED
Additions, Remodels, Etc.) C~ DEMOLT~ON
Y ~N
Y ~_N
::odes will b~ applied to the consl:ruct~on:
[] Uniform ~umbing Code w/Indiana Amendments
(Multi-Family Construction Code)
~TYPE: (Check all that apply for the new
Manufactured
Trusses: Y ~'N
Sump Pump: 7,~ --N C3[] SLABCRAWI'SPACE C~ ~:)ST & BEAM
BASEMENT
/
lie within a spedal Flood designation ama: Y [/N WALKOUT:Y ~' N
time frames for beginning and completing construction.
[, thc undel~signed, agtce that any construction, reconstruction, enlargement, relocation, or alteration of a stracvare, or any ckange in the use of land or
stlucmres lx~qu ested by this application wilt comply with, and conform to, all applicable laws of the State o£ indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993' (Z-289) and ~.man~ts, adopted under authority of LC. 36-7 et ~q, General Assembly of the State of Indiana, and allActs amandatory
theanto. I further cert~y that only kitchen, bath. and floor drains are cmmected to the sanitary sewer. I furthe~ certify that the construction win not be
used or occu~pied until a Cetrdtlcate o£Occupancyhas been issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authodzed~nt Pdnt__ ._.=/c__=_ _ .
Under Slab
Filing Fees:
Base Inspections:
C. ert, of Occupancy:
P.R.I.F.:
-- Reviews
TOTA
AddiUo~al Fees
Services (Date)