HomeMy WebLinkAbout05050077-ApplicationPROPERTY
OWNER:
LOCAl/ON
& PRO2ECT
TNFO:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
LOT # SUBDMSION NAME SECTION
ADDRESS OF CONSTRUCTION
I ',L ~ o ~zZ
zo%
SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:.
[] MULTI-FAMILY
.~ # of Units:
~ESIDENTIA~(For
~ Additions, Remodels, Eh:.)
P · I - · _' · --'
Early Release
Permit: __Y .~
SEWER ~ ~ I WATER UTILFpf
NAME OF [TrILIT~ EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / 8PW DOO(ET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ (IF APPLICABLE):
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDItiON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED ~ARAGE
[] fATFACHED GARAGE
{~ DEMOLITION
COST OF CONSTRUCTION:
D VALUE)
Hanufacturod
Trusses: __Y _.~
Lot Split: __Y,~N Sump Pump: Y ~N L~r~CRAWLSPACE [] POST & BEAM
[] SLAB ~. {~P'BASEMENT
Does any part of the property lie within a special Flood designation area; Y ~ WALKOtff: Y ~
For. Si~. gle Family and Two F .a~.' y dwellings, additions, remodels, and/or acce~ory structures, this permit is valid only ff construction commences
w~thin 180 days of the date of ~ssuance of the building Perrme. and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class l serucna~ permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construc~on, reconstruction, enlargement, relocation, or alteration of a structure, or any c_ h~ ~_g_e in the use of land or
sttuctutes~u~estecl by this apphcation will comply with, and conform to, a~ applicable laws o£ the State of Indiana, and the Zoning On~inance of Carmel
Indiana - 1993 (Z-289) and a~enclments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of In0dana, and all Acts amendatory
thereto. I further cert~y that only kitchen, bath, and floor dr~ns a~e connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a CezefFi/cate o£Occupa~c?bes been issued by the Department of Community Services, Carmel, Indiarm.
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
Plumber's Indiana State
Which plumbing codes will be a
~ International ResidenUal
[] Uniform Plumbing Code w /~ncTl~c~memtment$~._ ~
(Hulti*Famil¥ Construction Code)
~[~1~: (Check all that apply for the new
consta'uction area)
INSPECI~ONS REQUXRED.'~[ ~ /
Upper FaoUng Lower FooUng ~4~
Rough~n~/¢ Heter Base Fina,l ' ~i;ite
C~a~ed Re-
Additional Fees