HomeMy WebLinkAbout05120134-ApplicationBUZLDER of
RECORD:
City of Carmel~Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels~ & Accessor~ Structures
NAME * PHONE
STREET ADDRESS CITY STAT~
BUILDER S ~MAIL ADDRESS
zip
FAX
STATE
CITY
SECTION
ZIP
ZONING:
SQUAR~
POOT^GE:
TYPE :N -'RU
[] SINGLE FAMILY
[] TOWN HOME
C~ TWO FAMILY
~ of units:
[] MULTI-FAHILY
# of Units:
~ RESIDENTIA-L- (For
Additions, Remodels, Etc.)
P~3ECTI- F RMATION:
TYPE IMPROVEMENT:
NEW STRUCTURE
[] ROOM ADDITION(S)
PORCH ADDI_~TION(~) .
REMODEL ',~'-~-~Z),
ACCESSORY
DETACHED GAUGE
A~ACHED GAUGE
DEHOL~[ON
PLUMBI'NG CO~TRACrOR:
C~ Uniform F
Early Release Manufactured ~./~
Permit: Y ~.N Trusses: Y
Lot Split: __¥ ~ Sump Pump: ----Y 7Z~-N C~ C~W~PACE
Does any pa~ of the prope~ lie within a special Flood designation a~ __ WALKO~: .Y_z~N
~i y dwel els, and/or accesso st ~id on] ifconst~~
. g ~ P Y
~thin 180 days of the date of issuance of the building permit, ~d must ~ completed (Certificate of Occupancy issued) ~t~n 18 months of the
issnance date~ Class l structure per.ts are subject to the GenerM Adnfin s~adve Rules of the State of Indiana (Sc~ 675 1AC 2) r~arding expiration
time frames for beginning and completing const~ction,
I, the undersigned, a~'ee that any construction, reconstruction, efiargemenL relocation, or Mteration of a s~uc~re or ~y change ~ tko u~- ofl~d or
s~c~res request'ed by this app~cation ~ comply with and conform to ~ applicable laws oi the State of ln~zma ~d thc ~Zo~g Ordnance of Carmd
~93' (Z-289~ xnd amendments, adopted under authoriW of [.C. 36-7 et seq, GeneralAssembly of the State of In~ana, ~d ~ Acts amendatory
~ath. ~d floor ~ains are connected to the sanitar sewer.
'~s been issued~zent of Community Services. C~mel, lndi~a,
Filing Fees
; REQUIRED:
.......... Base Inspe~ions ~arged Re-
upper eooting Lower rooting unaer blab _ ~ Keviews
Ce~. of Occupancy:
P.R.LF.: Additional
., ~,~- ~/TOTAL:
R~ewed/A~~muni~i~