HomeMy WebLinkAbout05120086-ApplicationPermit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
pROPERTY
OWNER,
LOCATION ~OT # SU~DmSm~
& PRO3ECT
INFO: ADDRESS OF CONSTRUCTION
PROVIDER:
[] SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
SEPTIC PERMIT #'S (IF APPLICABLE):
P F H E T:
;~ NEW STRUCTURE
RCX~M ADDITION(S)
# of units: ~--'g "'.1~ PORCH ADDITION(S)
-- [] REMODEL
[] MULTI-FAMILY [] ACC ............
~ # of Units: ~,~
~ RESIDENTIAL (Fo~ ~: ~' ~,~'~'~E~
Additions, Remod~ ~]:~/~O~Of, l :~ '--
Release
Permit: Y
Lot Split: ____Y j Sump Y
FAX
ZiP
Plumber's Indiana
Which plumbing codes will be applied to f~e construction:
[] ~ntemational Residential Code w/Indiana Amendments
C~ Uniform Plumbing Code w/Indiana Amendments
(MultFFamlly Construction Code)
FO ND P : (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAM
.J -SLAB
~., -BASEMENT
Does any part of the property lie within a special Flood designation area: ____Y ~ WALKOUT: Y
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ffconstmction commences
within 180 daya of the date of iswaance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
l~uance date. ~ I stlnlctore permits are ~ubjeet to the General Administrative Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, ~elocadon, or alteration of a stlxlctore, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State o£ Indiana, and the "Zordng Ordinance of Ca_wmel
Indiana - 1993" (Z-289) and amendments General Assembly of the State of India2aa, and all Acts amendatoty
thereto. I further certify that onl] ) the sanitary sewer. I furthex certify that the construction will not be
Services. Carmel, Indiana.
OFFICE USE ONLY: ******a
Reviewed/Approved: Depb of Community Services (Date)
Cert, of Occupancy:
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# (~Reav~i~eewdsRe-
P.R.LF.: Additional Fees