HomeMy WebLinkAbout05020018-ApplicationRESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulfl-Yamily, & Two Family:'--m" New Structures, Additions, Remodels, & Accessory Structures
OWNER:
& PRO3ECT
INFO:
PHONE FAX
PHONE FAX
SUBD~SION ~E z SE~ON ZONING:
WATER UTILrrf
PROVIDER;
NAME OF Lr~L~l~( EXCAVATION CONTRACTOR; PLAN COMMISSION / BEA / ~ DOCKET
NUMBERS; [OUNTY WELL AND/OR SEPTLC PERMIT #'S (IF APPLZCABLE):
-P= - M R'-"-', E-a;:
[] NEW STRUCTURE
[] MULTI-FAMILY
BUILDING
P- _ -:: ~ ' .--"" :
EaHy Release Y ~ construction area)
Permit: Trusses: -~-' (~ CRAWLSPACE
Lot Split: Pump: Y/~N ~/~ SLAB
Does any part of the property lie within a special Flood designation area: Y _
\ ~t~ch plumbing codes will I~ applied to the
~ iIntemational Residential Code w/Ii
~ Uniform Plumbing Code w/Indiana Amendments
/(Multi-Family Construction Code)
~: (Check all that apply for the new
[] POST & BEAM
[] BASEMENT
WAU(Otff: Y_ N
J only ffconstruction commences
! issued) within 18 months o£the
abject to the General Adininisrtative Rules o£ the State o£ Indiana (See 615 IAC I2) regarding expiration
time frames for beginning and completing construction.
1, the undersigned, agree that any consmaction, reconstruction, enlargemenr~ relocado]z or alrerat/on of a slamc~re, o~ any ch~ange, in the .u. se of land or
structures requested by th/s application will comply with, and conform to, all apphcable hws of the State o£ Indiana, and the Zoning Ordinance of Carmel
Indiana - 1993" (Z-289) and amendment, adopted under authority of I.C, 36-7 et seq, General Assembly of the State of Indiana, and all Acts amandatory
thereto. I ~ur the~ c~rt~ that only kitchen, bat-h, and floor drains ~e connected to th~ sardtax7 sewer. I further certify that the c. onsWaction will not be
~sed~r~ccupie)~un~aCerr~Eca~£~cc~P;nc?hasbeenissuedbytheDe~artment~£C~mm~tyServices.Carme~Indian~ /
Print
USE ONLY: ******.8.*.8.: *************************************************
Fi in~ Fees:
Base Inspections: ~' 2 , 0 ~) ~ Charged Re-
- Reviews
rt. of Occupancy:
.R.I.F.:
Upper Footing Lower FooUng
Rough In Meter Base Final
Add~onalFees
fC