HomeMy WebLinkAbout05030016-Application Perm t #
RESIDENTIAL IMPROVE LOCATION PERMIT APPLICATION
For Single Family, Multi-Famllyt & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE
TY PHONE
OWNER:
cRY
LOCATION
& PRO3ECT
F~
SECrlO~
PROVIDER:
--PE - --: :-: I'- N_:
[~ SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Z T: ; -_ --:
Early Release
Permit: Y _~N
Lot Split: Y _~_N
TY F '_ --: VE i:
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] / PORCH ADJ~ITION(S).
(]2 REMODEL'~/~-~-d ~o~
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLTTION
Manufactured
Trusses: Y _.~_.N
Sump Pump: Y XN
Does any part of the property lie within a special Flood designation a N~(Z
For Single Family znd Two Family dwellings, additions, remodels,
within 180 days of the date of issuance of the building permit,
issuance date. Class I structure permits are subject to the General Administrative Rules of the
time frames for beginning and completing
I, the undersigned, agree that any construction, rcconsU'ucQon, enlargeraent, :ekication. or a
structures requested by tkis application will comply with. and conform to, all a
Which plumbing codes will be applied 1
[] Zntematlonal Residential
[] Uniform Plumbing Code w/indiana
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that appty for the new
construction area)
[] CRAWLSPACE []/POST & BEAM
[] SLAB
N
: O~ce of C~mel
Indiana -1993" (Z~289) and ~1 adopted under authority of I.C. 364 et seq, General Assembly and all Acts amendatoty
thereto. I fu:thex cexfiJy 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 CertiEcate o£Occupa~c?has been issued by the Department of Community Services, Carmel, Indiana.
~nature of Owner or Authorized Agent Print Date
OFFICE USE ONLY / ? ~ ~/~
Ffl ng Fees ~
INSPEC1~ONS REQUIRED: Base Inspections: / -~D~'/~ __ # Charged Re-
Lower Footing Under Slab ~~c~ Reviews
AddiUonal Fees
Upper Footing
Cert. of Occupancy:
P.R.I.F.:
of Community Services