HomeMy WebLinkAbout05040091-ApplicationCi'y of CaYttt¢l / Ctay Tow~$hilJ h~ L ~ permit #:
RE$ ENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
BUILDER of
RECORD:
OWNER:
LOCATION
&PROJECT
NA~E
STREET ADDRESS
BUILDER'S EMiL ~DRESS
PHONE
NAME PHONE FAX
INFO: ~OR~SS OF CONSTRUCTION
SEWER UTILITY WATER UTiLiTY / ESTII~TED COST OF CONSTRUCT[ON:
ImE OF ~ EXC~VAT[ON CONTRACTOR; pLAN COMMISSION/BZA/~ DOCKET a[ A
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEFT[C PERM[T # S (IF APPL[CABLE): /~ '~ /~
~ SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
~ # of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
P A :
Early Release
Permit:
TYP P V :
[~NEW STRUCTURE
ROOM ADDITION(S)
Y BUILDING Which plumbing codes will be a
[] DETACHED GARAGE ~....~[] International
[] CRAWL.SPACE d POST & BEAM
[] BASEMENT
Y _~_N WALKOUT: Y N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff construction commences
within 180 days of the date of issuance of the building permit, arid must be completed (Certificate of Occupancy issued) wi,kin 18 months of the
issuance date. Class 1 structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning mad completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of Land or
structures requested by this application wit[ comply with, and conform to, ail applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiarm - 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 certify that only 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 Gergfficate of Occupanc?has been issued by the Department of Community S er vic e ~C:-~'II~tJ a n a.
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~ISPECTIONS REQUIRED: .
~;~p~pper Footin Lower FOOting Under Slab ~ ~ ~"'~' Rew~w~
or o ¢up n :
Meter Base .............. P.R.LF.
s:~r~ns/m*Revtewed/Appr°ved:~esmesrr~tDept' of Community Services (Date)