HomeMy WebLinkAbout05030132-Application IMPROVEMENT LOCATION PERMIT ApPLIcATION
For single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
C~TY STATE
SUBDIVISION NANE SECTION
PROJECT u
: CONSTRUCTION ~q~_
PROVIDER: ~
NAME 12 ~1 CONTRACTOR; PLAN COMMISSION / BZA / ~P~ DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERNrr # S (IF: APPLICABLE):
~ SINGLE FAMILY
1223 TOWN HOME
[] TWO FAMILY [] PORCH ADDITION(S)
# of units: [] REMODEL
[] MULTI-FAMILY [] ACCESSORY BUILDING
# of Units:__ [] DETACHED GARAGE
[] RESIDENTIAL (For [] ATTACHED GARAGE
Additions, Remodels, Etc.) [] DEMOLITION
ZONING:
FOOTAGE:
Which plumbing codes will be applied to the construction:
~ Intematienal Residential Code w/Indiana Amendments
I23~U-niform Plumbing Code w/Indiena Amendments (MuIU-Family Construction Code}
F_.OUNDATION TYPE: {Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAM
[] SLAB (]~ BASEMENT /
WALKOUT: Y v~ N
Manufactured
Trusses: __Y
Lot Split: Y
--N Sump Pump: ~Y N
Does any part of the property lie within a special Flood designation area: Y ~ N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ffconstruction commences
within 180 days of the date of issuance of the building permit, and must be completed (Cextificate of Occupancy issued) within 18 months of the
[~uance date. Class I structure permits are subject to the General Administrative Rules oftbe State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, recoostractio~.~eghxglgR~on, or alteration o£ a structure, or any change in the use of la~d or
structures requestsd by rl~ apl~l~~, ~~~le laws o£ the State of indiana, and the 'Zoning Ordinance of Carmd
indiana - 199t" (Z-289) and (~[[~ ~ldt'.~d;[~eneral Assembly of the State of Indiana, and all Acts ame~._dato~
thereto, I fmxlxer certffT that onl~ ~11~: to the sanitary sewer. I further certify that the construction witl not be
used or occupied until a Ce ~LOcate J~gl~l:r4~nt of Community Services, Carmel, Indiana.
-- Print , Da~
Filing Fees:
Base Tnspections:
(Date)
# Charged
Reviews
Cert. of Occupancy': ~ 6'C?
P .... RIF : ~~ AddiUona Fees