HomeMy WebLinkAbout05040129-Application RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
OWNER: ~ -- --
TNFO:
SUBD~SION NAME
:ONSTRUCTION
SECTION
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DAT~(S); AND/OR COUNTY W~LL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
(EXCLUDING LAND VALUE)
SQUARE
FOOTAGE:
: E .F~M_=:R- VEM ~ : __
~ of un~:.
[3 MU[D-FAMILY
# of Units:
[] RESIDEN~ (For
Additions, Remodels, Etc.)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING Which codes will be a
~_~ETACH ED GARAGE
~~'ITACHED GARAGE Fqumbing Code
[] DEMOL.'~ON
(Multi-Family
Permit: Y _~ N construction area}
CRAWLSPACE
&
BEAM
Lot Split: Y Sump Pump: Y ~
~I.AB [] BASEMENT
Does any part of the property lie within a special Flood designaUon area:
tures, this permit is valid only ff construction commences
I the buildinglaermk, and must be co~npleted (_Certificate of Occupancy issued) within 18 months of the
] issuance i ~rAve Rules of the State of Indiana (See 675 IAC 12) regarding eacpiration
I completing construction.
~ ion of a stracture, or any change In the use of la~d or
~ e State of Indiana, a~d the ~Zorfing ~ce of Carmel
= of Indiaxm~ and all Acts amendatory
~ sewer. I further certify that the construction will not be
r Services, Carmel, Indiana.
OF~I~fi USE ONLY1 **************************
Reviews
Cert. of Occupancy:
P,R,I.F,: ~ ~ ~ 0 Additional Fee~
Community Services (Date)