HomeMy WebLinkAbout05030012-ApplicationRECORD:
City of Carrad/¢lay To~Mp Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family:"'"'" New Structures, Additions, Remodels, & Accessory Structures
PROPERTY ~A.E P~O,~
OWNER;
LOCATIONLOT# ~ SUBDMSION ~E
PHONE FAX
~I~'S E~L ~D~S BE~ M~OD OF CO~A~: ~
FAX
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zip
zip
FOOTAGE:
NAME OF UT[Lt-rY EXCAVATION CONTRACTOR; PLAN COMMISS~O~N~ B~?~.. DOCKET
~-~' ~ PORCH ADDITION(S)
# of units:__ ~[~JLJIJ~ REMODEL
C] MULTI-FA~!LY
# of Units: [] DETACHED GARAGE
C] RESIDENTIAL (For [] ATI'ACHED GARAGE
Additions, Remodels, Etc.)
- IN _ ., "~:
Early Release
[] ACCESSORY BUILDING
[] DEMOLITION
Manufactured
Trusses: ~,~ __N
Sump Pump: _~Y__N
censtrucUon area)
4 CRAW .ACE
[] SLAB
[2] POST & BEAM
time frames for beginning and completing construction.
I, the undersigned, agree that any construct/on, reconswact/on, enlaegemenc, relocation, or alteration of a stnmcture, or any c_ h~ .~_g_e in the use of land or
st?...ct-ares ~q~u. ested by this applicat/on will comply with, and confesm to, all applicable laws o£ the State o£ Indiana, and the Zoning Ordinanee o£ Carmal
hadiana - 1993 (Z-289) and amendments, adopted under authotity of I.C, 36-1 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I flarther cettEy that only kitchen, bath, and floor drains axe connected to the sanitary sewer. I further cet'tffy that the construction will not be
u~ or occu~xi until a~ ~t¢ o£Occupaacyhas been issued by thc Department of Community Services, Carmel, Indiana.
Sign~iture of Ommer or Aatho~ed Agent Pr[at
OFF~CE USE ONLY: ************************************************* ~*****************
Filing Fees:
Base Inspections: # Chained
Reviews
CerL of Occupancy:
P.R.I.F.: AdditiOnal Fees