HomeMy WebLinkAbout06010064-ApplicationCity of Carmel/Clay Township
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZL!
RECORD:
PROPERTY NME
OWNER:
STREET ADDRESS
PHONE FAX
LOCAl/ON
LOT # C/ SUBDMSION NAME
& PROJECT
INFO:
SECTION ZONING:
PROVZDER: PROVIDER: (~XCLUDING LAND
~/n/~ SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
FOOTAGE:
P ;F-'-:-; -M- :
~ NEW STRUCTURE , ~O~ ~/-/~
[] ROOM ADDmON($)
Plumber's Indiana State U(:ense #:
[] PORCH ADDmO.($)
[] REMODEL
[] ACCESSORY BUILDING Which plumbing codes will be applied to the construction,'
· [] DETACHED GARAGE ~'Intemational Residential Code w/Indiana Amendments
[] AT~ACHED GARAGE f '~ Uniform Plumbing Code w/~odiana Amendments
[] DEMOLITION (Multi-Family Construction Code)
F: - 1T~ONTYPE: (Check all that apply for l~e new
Eady
Trusses:Manufactured ~ N construction ama)
~N ~Y--N ']~CRAWLSPACE _[] ~ & BEAM
Permit: __Y
Lot Split: Y C~ Sump Pump: [~B ~ASEMENT
Does any part of the pruperty lie within a special Flood designation area: Y ~ WALKOUT: Y N
For Single ]Fa~y anc[ Two Fam~y c[w~ac[d~t~o~ ~~:~ql~LtCS, this p=rm~t ~s vaUd oaly E co~stt~ct~oa comme~ces
k~su0a~cc date, Class I structure perrmts are s ti ojc~ t i~.~ ~ ~c~r~ ~ te of Indiana (See 675 lAC 12) regarding expiration
tJu~tf~o~ etlng construction.
I, the undersigned, agree ~hat a~,? co. ns~ r~on of a structure, or any c~ ~h~.Se in the ~e of land or
st~ctllres reqlaest ed by th~s applicatlo~ ~or~~~y~ ~t ate o£ Indian~ alld the Zolflng Ordinance of Carmel
Indiana - 1993' (Z-289) and am?dm of the State of Indiana, and allActs amendatory
thereto, ! filrther eer~y tha~ only kitcheI1, bath, aild floor dr ai~d to the sanitm3r ~ewer, I further certify that the construction ~ not be
used or occupied until a Ee~il~ate o£Oeeupa~e?has been issued by the Department of Gommunity Services. Carmel, Indiana,
SignatUre of Owner or Authorized Agent Prln~
OFFZCE USE ONLY: ************************************************************************
Filing Fees:
Under Slab Base Inspections: # Charged~ev~ews
Cert. of Occupancy:
Final Site~ P.R.[.F.: ~ ~!0 Additional Fees
f Communib/Services