HomeMy WebLinkAbout05120015-Application _ #: 0
CiO~ of Carmel/ Clay Township ' Permit ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of
RECORD:
PROPERTY
OWNER:
~ PRO.1ECT
ZNFO:
NAME
LOT %_~ SUBDIVISION~ NAME -~'i~'SECr!ON
ADDRESS OF CONSTRUCTION
zip
EEFJ[MAI~D cob-r OF CONSTRUCF~)N:
#Oft
STRUCTURE
4 ADDITION(S)
ACCESSORY BU[LDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOL'-~ON
Additions, Remodels, Etc.)
~ : /- ' - '-:
Early Release Manufactured
Permit: Y X~ N Trusses: __Y _~_N
Lot Split: Y Y N Sump Pump: __Y Y N
PLUf4BZN - NTRA¥ OR:
Plumber's Indiana State Ucense #:
Which plumbing codes will be applied to the construction:
~ International Residential Code w/Indiana Amendments
~) Uniform Plumbing Code w/Indiana Amendments
(Mdtl-Family Const~ction Code)
~TYPE: (Check all that apply for the new
construction area)
~ CRAW[SPACE [] POST & BEAM
~ SLAB [] BASEMENT
Does any part oft~e property lie within a special Flood designation area: __Y .~__N WALKOUT: _Y N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff consteucnon commences
within 180 days of the date of issuance of the building permit, and must be completed (Cerdficaxe of Occupancy issued) within 18 months of thc
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 6751AC t2) regarding expiration
time frames for beginning and completing construction.
I, thc undersigned, agree that any construction, reconsu'uction, enlargement, relocation or alteration o£ a structure, or any change in the use nf land or
s~uc~ures requested by this application will comply with, and conform to, all epphcable laws of the State of indiana, and the ~Zoning ordinance of Caxmd
indiana - 1993" (Z-289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana~ and all Acts amendatow
ther?.~t4~/further cex~ that only kitchen, bath, and floor drains axe connected to the sanitary sewer. I further certify that the constn~ction will not be
/uaCl] or occupied uhtil~ Cerrigieat¢ o£Occupanc?hss been igsuedby the Department of C~ommuulty Se~wices, Carmel, Indiana.
OFI~cE US£ ONLY: **** **~
INSPECTZONSI
Meter Base
, .-. . gEPT
~tTof Commu~t~Services (Date)
# Charged Re-
Reviews
Additional Fees