HomeMy WebLinkAbout05030216-ApplicationBUZLDER of
RECORD:
PROPERTY
OWNER:
· City of Carmel/Clay Township perm #:
SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME - PHONE ~ FAX
(2] SINGLE FAMILY
U] TOWN HOME
-3 TVVO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:
~ RESIDENTIAL (For
Additions, Remodels, Etc.)
p - _, . ~ ~:
Early Release
[] DETACHED
[]
[] DEMOLITION I Code w/Zndiana Amendments
n Code)
/ FO NDAT~ :N -- : (Checkallthatapplyforthenew
Manufactured y [../ construction area)
[] CRAWLSPACE [] POST & BEAM
Sump
Pump:
N [] SLAB,.. ~ BASEMENT
part of the property lie within a special Flood designation area: Y _~[_N WALKOUT: .Y_.~N
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, erdaxgement, re. location, or altexation of a structure, or any c~ h~ ~a~_ge in the use of land or
structures ~.q~ estecl by this application will comply with, and coliform to, all applicable laws of the State of Indiana, and the Zoning ordinance of Carmel
Indiana- 1993 (Z-289) and amendments, adopted trader anthority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and atl Acts amandatory
thereto. I further certify rb~at o~y kitchen, bath, and floor drains are connected to the sanitary sewer, I further certify that the construction will not be
used or occupied until a Certificate o[Occnpanc?has been issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner o uthorized Agent Print Dat~
OFFZCE USE ONLY: ****************
INSPECT/ONS REQUIRED:
Upper Footing Lower Footing
Het~r Ba
Reviewed/Approved: Dept. of Community ~
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
R.
Revlew~
Additional
Fee Received by: