HomeMy WebLinkAbout05030010-ApplicationRESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
I~1~ PHONE FAX
RECORD:
PROPERTY PHONE FAX
OWNER: ~-~t'~' -Q~Si~g ~
LOCATION SEC-~ON
· PROJECT z°"ff L%
INFO: squ^~E
~ ~0 FAMILY ~ ~, ~ .
n ........ ~ ,,. ~, ~=:~ ~MODEL -- ~
~ J'Jg~' *'r~""H~%'~' OY '~;~'~ . ,~tA~ERRnRY RHT/~TN~ Which plumbing ~es will ~ appliec
~ or un~.__ ~ ~ D~ACHED ~GE ~ ln~maUonal Re~denUal C~e v
[] RESIDENTIAL (For [] ATTACHED GARAGE
Additions, Remodels, Etc.) C~ DEMOLt~ON
E~.'
Early Release Manufactured
Permit: Y v/N Trusses: Y
Lot Split: y x/N Sump Pump: ~/Y N
Does any part of the property lie within a special Flood designation area:
[] Unifoml Plumbing Code w/Indiana
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~ CRAWLSPACE C] POST & BEAM
(:~ SLAB (2~ BASEMENT
Y './U WALKOUT: Y__~_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of isstmnce of the building perrair, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Clar. s I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning and completing construction.
I. the undersigned, agree that any constraction, reconsmaction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
suractures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the 'Zoning Ordinance of Carmel
Indiana - 1993" (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana. and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction wilt not be
u~ff'or occupied until a Certil2cate ofOcct~pa~c, vhas been issued by the Department of Community Services, Carmel. Indiana.
OF E USE ONLY: ************************************************************************
· . Filing Fees:
, _( REQUIRED, /~. [o-~ %/~ --
,, '~ Base Inspections: ~ # Charged Re-
)) g Under Slab /~m 4 7~ Reviews
Cert. of Occupancy:
P.R.I.F.: ~ O~ ~-~,~ ~ .~dditiona, Fees
Reviewed/Approved: of Community Sen/ices (Date) ~c~'~ ~ c~
$:l~rmll~/For~s/IL~ RESIDENTIAL Fee I~,~etved by: