HomeMy WebLinkAbout05030083-ApplicationCity of Carmd/ Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures Remodels, & Accessory Structures
RECORD:
METHOD OF COI'ITACT:
ZIP
OWNER:
STREET ADDKESS
& PRO3ECT
INFO:
PROVIDER:
ZONING:
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCI(ET
NUMBERS; TAC DATE(S); AND/OR COU fl'TY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
~: TYPE F EN :
~1~ SINGLE FAMILY ~ NEW STRUCTURE
[] TOWN HOME /~- ROOM ADDITION(S)
[] TWO FAMILY []] PORCH ADDITION(S)
# of units: [] REMODEL
[] MULTI-FAMILY [] ACCESSORY BUILDING
# of Units:. [] DETACHED GARAGE
[] RESIDENTIAL (For [] AI-FACHED GARAGE
Additions, Remodels, Etc.) [] DEMOLITION
P RMAT~ :
Early Release Manufactured
Permit: ____Y _Z~.._N Trusses: Y /~ N
Lot Split: Y ~_N Sump Pump: _2~_Y __N
Does any part of the property lie within a special Flood designation area: __
Y _N
L I~! ING CONTRA OR:
Which plumbing codes will be applied to the construction:
~Intemational Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
[] CRAWl_SPACE [] POST & BEAM
[] SLAB ~ BASEMENT
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 issuance of the building permit, and must be completed (Certificate of Occupancy issued) 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 expiration
time frames for beginning and completing construction.
1. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
smactures requested by this application wdi 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 LC. 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 will not be
used or occupied until a Cer~fd2/~teo~Occupa~cy.l~bee~ ~sstu~d by the Department of Community Services, Carmel, Indiana.
C' /
INSPECTIONS REQU~R~
_~ ..... ~ .......... ~ ~ Base Inspections: ' '~} / ~-~ ~ ~ # Char~ea Re-
~ L~ Under $1~a~ ; Reviews
~ /-~ DEt: ....CO!v M,_2~, I ..... , TOTAL:
Reviewqd//~3proved: Dept. of Community Services (Date)