HomeMy WebLinkAbout05030192-ApplicationOCityofCarmel/ClayTownshil~~~
S DENTIAL I1V[PROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Huiti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
OWNER:
LOCATION
& PROJECT
TNFO:
PHONE FAX
BEST METHOD OF CONTACT:
NEW STRUCTURE
- ' N- :- -'_ :N_:
~ SINGLE FAMILY
~ TOWN HOME
~ TWO FAMILY D~
# of units:
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
- E - ~ - -; =- -.:
Early Release
Permit: Y N
[] REMODEL
[] e construction:
[] a Amendments
OFFICE USE ONLY: **************
Lower Footing
Rough lp_ Heter
ipply for the new
Hanufactured
Trusses: __Y N
O CRAWLSPACE {23r POST & BEAM
Lot Split: Y N Sump Pump: Y N [] SLAB [] BASEMENT
Does any part of the property lie within a special Flood designation area: __Y/N WALKOUT:. Y N
For Single Fa~ and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only-- ~ction commances--
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy i~ued) wirJfin 18 months of the
issuance date. Class I structure permits are sul~jees to the General Admi~strative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigxaed, agree that any construction, reconstruction, enlargement, relocation or alteration of a structure, or ajay cha~gc La the u~e of land or
st~ ctures requested by tl~s application will comply with, and cenfozm to, ~t[ applicable laws o£ the State o£ indiana, and the 'ZoaLag ordLa~es of Came]
~ - 1993" (Z-289) and amendments, adopted under authority o£ I.C, 36-7 ct seq, General Assembly of thc State of indiana, and all Acts amendatory
thereto, I further certify that only kitcken, bath, and floor drains are cormected to the sanitary sewer. I further certify that the construction will not be
used 9~enl(md m)~l~a CegeLFi?a£e o£Occul:m~cyhas been issued by the Depaxrment of Community, Services, Carmel, Indiana,
Signature of Owner or Authorized Agent Date
Base Inspections:
Reviews
Cert. of Occupancy:
(Date)
,R.I.F.: Additional Fees
--'---"-7'7'--' ~