HomeMy WebLinkAbout05020047-Application Township
IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Famlly, & Two Family: New Structures, AddiUons, Remodelst & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
r
mit #: '7
ADD ~~[~. M 0 OFI2ONTA --
S~CrlON
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:
RESIDENTIAL (For [] AI-FACHED
;, Remodels, Etc.) ~ DEMOLITION
Early Release
Permit:
/~Y N
(Multi-Family Constm~on (
FOUNDAT~ - , ':~: (Check all that apply for the new
construcUon area)
Lot Split: _Y ~l Sump Pump: ~.~_Y--N
CRAWLSPACE
POST
BEAM
[] SLAB .~BASEMENT
any part of the property lie within a special Flood designation area: __Y _~N
Does
For Single Family and Two Family dwell~gs, additions, remodels, and/or acce~ory stenesures, this permit ~s valid only ffconsrmction commences
w~thin 180 day~ of tla¢ date of ~s~uance of thc building permit, and must be completed (Certfficate of Occupancy issued) within 18 months of the
i~uance clat~ Cla~ I srtucmre ~rmir. s are subjees to the C~meral Admin~srta~ve Rules of the State of Incliana (See 675 IAC 12) regarcling expiration
time fi'ames for Beginning and complerJ~g construction.
I, the underrdgned, agree that any cons~cruction, tecomm~ction, enlargemem, relocation, or alteration of a structure, or any change in thc use of land or
structures requested by this application will comply with, and conform m, all applicable laws of the State of indiana, mad the ~Zening ordinance of Carmel
l~liana - 1993" (Z-289) and amendments, adopted under authotiBr of I.C. 36-7 et seq, General Assembly of the State of Indiana, a~d all Acrs amenclatory
thereto. I farther c~fy that only kitchen, bath, and floor clr~dns are connected m the sanitary sewer. I further certify that the construction will not be
u~dffr ocenpied nnt~ a ~'~['.~t/care ~o£/Oenu/~c? has been issu~ by the I~ep ~a~rLme~t o£ C.ommnsaty Services. Camel. Indm~
$1gn[~ture df O~er o~ AuthorizeO ,O, ge~ Print
Fdmg Fees.
Cert. of Occupancy:
si. 00
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