HomeMy WebLinkAbout05030124-ApplicationCity of Carmel~Clay Township permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
~ROWDFm ~ C m~r_~ PROWOER: ~ ( ~ ~ C~
NAME OF LrIIL1TY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKEr
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMiT #'S (IF
; FAMILY
TWO FAMILY
# of units:
MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
=. -. IN :- __- :
':---: F =--.'= -I :
[~ NEVV STRUCTURE
ROOM ADDiTiON(S)
[]] PORCH ADDITION(S)
[] REMODEL
[] DEMOLITION
FOUNDATION TYPE: (Checkall that applyfor the new
construction area)
Trusses: Y _,,Y~_N
~/.. [] CRAWLSPACE [] /POST & BEAM
Sump
Pump:
N
[] SLAB ~ BASEMENT
within a special Rood designaUon area: Y ~/~N WALKOUT:__Y__~N
wellings, ad rares, ~s~ v~d only ir con~
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 m~nths o.f th.e
i~suance date. Class I structure permits are subject to the General Administrative Rules of the State o£ Indiana (See 675 IAC 12) regarding exp~ratmn
time frames for beginning and completing construction.
I, the undersigned, agree thai a~,.y co. nstru.c?on, reconstruction, enlargement, relc~,.,.ation, or alteration of a srJmc~re, or any ch~ang~ in ~e,use nf lan~ or
structures ~.q~.ested by this applicatmn will comply wth, and conform to. all applicable laws of the State of Indiana, and t..he Zoning ummance o~ Carme~
Indiana- 1993 (Z-289) and amendments, adopted under autberity of I.C. 36-1 et seq, General Assembly nf the Stste of Inddana. and all Act.s amem._datory
thereto. I further certify that only kitchen, bath. and floor drains are connected to the sanitary sewer. I fur~ther, certify that the 5onstrucuon will not be
usedflkr oeenpied/~ntil a Cer~cate ofOccu, pancp'has been issued by the Departraent of Con~umty Servmes. Carmel. Indran~ ~
Signature of Owner or Authorized Agent Print Date
Rhng Fees.
ZNSPECT~ONS REOUZRED: =~..~ /~ -
-- Base ~nspections: ~ # ~argea ~e-
-- Reviews
Under Slab Cert. of Occupancy: ~.