HomeMy WebLinkAbout05050019-ApplicationCity of Carmel~Clay Township perm~ #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of
RECORD:
BEST METHOD OF CONTACT:
OWNER:
PHONE FAX
LOC, AT/ON
& PRO3ECT
ZNFO:
ZONING:
SQUARE
~ SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
"-:-' IN :. :_- :-:
'~I~EW STRUCTURE
[] ROOM ADDTi~ON(S)
[] PORCH ADDTHON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATrACHED GARAGE
[] DEMOLITION
Which plumbing
~11tematJonal Residential Code w/Zndiana Amendments
O Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construddon Code)
issuance date. Class I structure permits are subject to the General Admilxlstrative Rules of t~e ~.e~9~{i~.~'~ ~ 12) regarding expiration
..... time frames f°r beginning end c°m. ~L~?:~Lgu~4~l~ ~ ~ ~ !
1, the unaer~gned, agree that any constructaon, reconstrucuon, enlargement, l~locat~oh~rr 'alt~r ~d~n bf &~vch~ ~1~ ~ ~L~I~ of land or
str~..ctu, tcs ~3c~ested by this applicauon will comply va~, and c~nform to, all apptic ~l~*t~$qs(~fi~ ~ h~ ~a~Cab~ ~e of cannel
~_diana-lg9 (Z-289) and araendments, adopted under authonty of I.C. 36-7 et seq, General Assembly of ~ ~L~f }{adian~ ~d ~ Acts am~to~
thereto. I fiather certify that only kitchen, bath and floor drains are connected to the sanitary sewer. I furt~¥1~]~tat the construction will not be
[/t~ or occupied until a Cerc~eate o£Occupamcyhas bee~ ~$ue~y the Department of Con~nunity Servi~ee$, Carmel, [ndialla.
~FFZCE USE ONLY,~***********************************************************************
Filing Fees:
INSPECTIONS REQUIRED:
Base Inspections: ~ )C;
Under Slab ~ Reviews
Services (Date)
Cert. of Occupancy:
P.R.I.F.: / i _Yg3I'~ ~) ~ddit~ona,