HomeMy WebLinkAbout05010020-Applicatione
RECORD:
City of Carmel/Clay Township 6~/ ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
-- PHONE FAX
PROPERTY
OWNER:
LOCATION
& PRO3ECT
S~ER UTIL~ / ' J WATER UTILTTY ~-'. ~ J EST[NATED COST qF CONSTRUCrloN:
(EXCLUDING LAN~VALuE)~
NAME OF LITILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ (IF APPLICABLE):
C3 SINGLE FAMILY [] NEW STRUCTURE
BEST METHOD OF CONTACT:
ZONING:
SQUARE
60o 0
TOWN HOME
TWO FAMILY
# of units:
[] MULTi-FAMILY
~ # of Units __
pRESIDENTI/~L (For
Additions, Remode s, Etc.)
OFFICE
[] ROOM ADDrr[oN(S) Plumber's
[] PORCH ADD.~ON(.S~. ,-~
REMODEL -~ ~'~-/1,-- - -
ACCESSORY ~UILDIN~ Whld~lumbing code~ wi
[] DETACHED GARAGE ~n~ernational Residential Code w/~ndlana Amendments
[] ATTACHED GARAGE -z~-'[~ ~niform Plumbing Code w/[ndiana Amendments
[] DEMOLITION /-- ~MuRi-Family Construction Code)
Manufactured FOU_.~ON TYPE: (Check all that apply for the new
Y _~_N construction area)
~Y~._N [~ SLAB ~ BASEMEN
I:~es any part ef the property lie within a special Flood desi§natien area: _Y_~N WALKObrr. Y__~N
Family dwellings, additions, remodels, and/or accessor~ stenetures, this permit is valid only if construction commences
lays of the date of isstmnce of the building permit, and must be completed (Certificate of Occupancy issued) witt~ 18 months o£ the
[alas of the State of Indiana (See 675 IAC 12) ~eg~:ling expitation
constr~ctlon.
: any COltSl:l~ctioll. reconstruction, enlargement, relocation, or alteration o£ a structure, or any change in the ~se o[ la~d or
with. and conform r~, all appUcable laws of the Stare o£ IndNna. and the 'Zoning Ordinance o£ Carmel
General Assembly of the State of indian~, and all Acts amendatoty
Idtchen bath. and floor drahns are connected to the sanitary sewer. I further enrtif7 that the eonsm~ction ~ not be
=¥ the Department of Community Servi_ees, Carmel, In&iana~
'-"
Prin~ D~lt~
Filing Fees:
INSPEC1/ONS RE(~:~ E gp~ FOg
Upper Footing Lower Foot~oi~i~n~,e w ~ %!/g~c~ila~ion~~ Reviews
~Community Services (Date) ]~?-.~--~-