HomeMy WebLinkAbout05010014-ApplicationBUZLDER of
City of Carmel~Clay Township I )~ Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
--' FAX
P.o. __
CITY STATE · ZIP
ZIP
LOCATION
& PROJEC~
INFO:
SUBDIVISIO~ NAME
ADDRESS OF CONSTRUCT[ON
~ROV]DER: PROV[DER:
NAME OF UT[LYTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOe(ET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEFT'~C PERMIT #'S (IF APPLICABLE):
SINGLE FAMILY
TOWN HOME
'rwo FAMILY
# of units:
MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
NEVV STRUCTURE
ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATFACHED GARAGE
[] DEMOLITION
SECTION ZONING:
/_
Which plumbing codes wil
Permit: Y ~
For Single Family and Two Family dwellings, additions, remodels~ structures, this permit is valid only
within 180 days of the date of lsmumce of the building permit, aJad must be completed (Certificate of Occupancy isamed) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expisation
time frames for beginning and completing construction.
I, the undets/gned, agree ,fl~t a~..y c~nstmction, reconsmact~on, enlargement, relocation, or alteration of a structure, or any ch~ange in the use of land or
smactures se,q~ested by this appl~calaon will comply with, and conform to, all applicable laws of the State o£ tndiana, and the Zoning ~ce of Carmel
lnd/ana- 1993 (Z-289) and amendments, adopted under authority o£ I.C. 36-7 et seq, General Assembly of the State of Indiana, and atI Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drahas are connected to the sanitary sewer. I further certify that the construction will not be
used or occupie~l~ until a Gerr/~care o[Occnpanc?has, been issued by the Department~of' Commun/ty Services, Carmel. Indisnm
J~rOTAL:
PUT IT IN WRITING!
Oral messages cause interruption, and may be
misunderstood or forgotten.
C O L L E C T I O N For your information.
Your comments, please.
For your signature.
For your approval and return.
To PAM IT I* Please speak to me re attached.
MAIZE- Please take charge of this.
From MAKE- NANO Please note and file.
Please note and return.
Date 0121104 Please prepare reply for my signature.
Please answer, sending me a copy of your letter.
V
Subject V V 1
Remarks:
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