HomeMy WebLinkAbout05110176-ApplicationCity of Carmel~Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, HulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
& PRO3ECT
ADDRESS OF CONSTRUCTION SQUARE
__INFO: _' _'~_ ',_ ~
~N'FRACTOR PLAN COMMISSION / BZA [ 8PW DOCX~T
o TWO
[] MUL~-FA~
# of Units:~
[] RESIDENT~AE~
Additions,
; PE ,F:-:-R - M T:
C~NEW STRUCTURE
~ ROOM'ADDrT~ON(S)
PORCH ADDITION(S)
[] REMODEL
C) ACCESSORY BUILDING
~ 'DETACHED G,A~E
~ ATTACHED GAUGE
C] DEMOLITION
PLU-BZN - NT--: - R:
~se #:
Whic~ plumbing codes will be applied to t~e const~ucUon:
~maUonal Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Zndiana Amendments
(Multi-Family Construction Code)
Manufactured
(Check all that apply for the new
Permit: Y ~ N ~"y_ N
Trusses: constzucflon area)
Lot Split: Y ~N Sump Pump: ~ --/~N [] C~J~,AWLSPACE [] POST & BEAM
E~"~SLAB /'~ [] BASEMENT
Does any part of the property lie within a special Flood designation area: Y
w~rnm l~u ~ay~ o! me oate o~mance o! the building perrmt:, and must: be complered (Cerrfficat¢ of Occupancy issued) wirl~n 18 months of the
ir~uance dat~ Cla~ I structure l:~ermi~ are aubject: t:o the General Administradve Rules oft:he Stare of Indiana (See 675 IAC 11) regarding expimdon
time frames for beginning and completing con,t:ruction.
I, the undersigned, agree thac any conslx'uc~on~ recons~'uc~on, enlargement~ relocation, or alteration of a sr:rucmre~ o: any change ~, ~e use of land or
sm~ctures r~esm:l by r.l~s application will compl7 with, ~d co~orm m, all applicable laws o[ the State of Indma, and the ~Zoning ~ce of Ca:rind
Indiana - 1993 (Z~289) and amandments, adopted undr_r authotity of I.C. ~6~7 et seq, General Assembly of the Stare of Iadian~. and all Acts amendatory
p~¢a unto a cerr~c~t'e o~' Occnpancy'nas been ir~ued bythe Department of Community Serv~ens. Carmel, Indiana,
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Filing Fees:
Base Inspections: --~e~--~ ~' ~'~ # Charged R~-
Reviews
CerL of Occupancy: -- ~ -~-~L~_
Site P.R.LF.: ~ ~ ~-~iUonal Fees'