HomeMy WebLinkAbout05040066-Application City of Carmel~Clay Township ~ Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Fan~_~r~/~gn~[iq~v~uctures, Additions, Remodels, & Accessory Structures
BUILDER of NAME PHONE FAX
RECORD:
Indianapolis, IN 46L 0
PROPERTY
OWNER:
L~OCATZON
PRO3ECT
INFO:
PHONE FAX
PROVIDER:
CONTRACTOR; PLAN COMHTSSION / BZA / BPW DOO(ET
~IF APPLICABLE):
~ ~~ng Code w/Zndiana .Amendments
O'4~;§-Family ConstmcUon Code)
'Release ~ Manufactured
.____Y '" N Trusses: ){ Y N
~ CRAW[SPACE
L°tSplit: SumpPump: _~Y__N C~ SlAB
Does any part of the property lie within a special Flood designation area: Y ~/N
[] POST & BEAM
~ BASEMENT
WALKOUT: Y ~< N
For Single Family and Two Family dwell~gs, additions, remodels, and/or accessory structures, this permit is valid only ff construction commences
wifldn 180 days of [he date of issuance of [he building permit, and must be completed (Certificate of Occupancy issued) witl~ 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.
I, the undersigned; ~ that any constxmcrion, reconstzmc~on, enlargement, rdoca~on, or alteration of a structure, or any change in the use of land or
s~'ucmres requested by ~ application will comply with, and conform to, all appldcable laws of the State of Indiana, and the 'Zoning Ordinance of Carmd
Indiana - 1993" (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further cetrff7 that only kitchen, bath, ~mdttoor drains are connected to the sanitary sewer. 1 fur[her certify that the construction will not be
t Cerrff~'cat:e. o£Occupancy'has been issued by the Department of Community Services, Carmd, lndhna.
OFF~CE USE ONLY: ************************************************************************
INSPECTIONS REQUIRED: Filing Fees:
Under Slab Base Inspections: , # ChargedReviewsRe-
Cert. of Occupancy: ~<~/
P.R,I.F.: O ~ 7 (~,C AddiUonal Fees
TOT . ___
Reviewed/Approved: Dept. of Community Services (Date)