HomeMy WebLinkAbout05120107-Application Clay Township ~ b - ~ Permit #:
IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY ~ ~o.~
OWNER: ~c~rr
STREET ADD~E$$
&LOCAT~ONpRoJECT LOT #
INFO: ~D~SS OF CON~U~ON
S~ ~ ~~ /~D~ --
~E ~ ~ ~VA~ CO~OR; P~ ~MMISSION /
[] TOWN HOME
TWO FAMILY
# Of ur~its:
[] MULTI:FAMILY
# of Unrcs:
[] RESIDENT[AL(For
Additions, Remodels, Etc.)
Early Lot Permit: Split: Release
TYP ! V ENT:
[~'~EW STRUCTURE
Manufactured
Trusses:
Sump Pump: ~Y N
L MB G N CT R:
Plumber's Indiana S~tate License #:
cedes will be applied to the constr~ction:
[esidential ~
Code w/Indiana Amendments
Does any part of the property lie within a special Flood designation area:
(Check all that apply for the new
[] POST & BEAM
~N ~Z'-BASEM ENT ~N
Y WALKOUT: Y .
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff construction commenc'-~--
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
~ce date. ~ I ~tru~ture perrmts are subject to the General Admlmstrative Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning and completing construction.
' construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by ti~s application will comply with, and con~orm to, all applicable laws of the State of Indiana, and the 'Zoning Ordinance of Carmel
Indiana - 1993' (Z-289) and amendments, adopted under authority of I.C. 36-7 et sec[, General Assembly of the State of Indiana, and afl Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction ~ not be
use~i?:~ ~`~a:¢~[~cc~P~c~has bee~ issued by the Deparr`m~n~ ~m`unity S~rvices~ Carme~ India.
Signature of Owner or Authorized Agent Prin~ Date
OFFICE USE ONLY: ***********************************************************************
Filing Fees:
Slab
Site
Services (Date)
Reviewed/Approved:
Base Inspections: # Charged Re-
Reviews
Cert. of Occupancy: ~L5>
P.
F.
: ~-~ , ~ : Additional Fees