HomeMy WebLinkAbout05050017-ApplicationCity of Carmd/ Clay Township __
RESIDENTIAL IMPROVE NT LOCATION PERMIT APPLICATION
FOr Single Family, Huiti-Family, & Two Family. New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PHONE FAX
OWNER:
STREET ADDP~SS
PHONE
BEll' METHOD OF CONTACT:
~AX
CITY STA'~ ZIP
LOCATION SE~ON ZO~.IC~'
&PROJECT L ~ ~ /
INFO:
SINGLE FAMILY
]3NO FAMILY
# of units:
[] MULTi-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
P:- ~-.' IN --- !-- -::
Early Release
Permit:
Lot Split:
FI R _ :
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGF
[] Al-rACHED GAR~
[] DEMOLITION
Manufactured
_ v ~ Trusses:
y ~ Sump Pump:
~ plumbing codes will
~ ZntemaUonal ResidenUal Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(MulU-Family Constru~on Code)
FOUND- -----=TYPE: (Check all that apply for the new
construcUon area)
[] CRAWLSPACE
[] SLAB
Does any part of the property lie within a special Rood designation area: Y ~ WALKOLff:Y
For. Sl?g]e Family and Two E ~a~il.' y dwellings, additions, remodels, and/or acoessory structtttes, this perrMt is valid only ff construction comme~ces
w~thin 180 days of the date of issuance of the building permit, and must be completed (CertLficaxe of Occupancy issued) within 18 months of the
issuance dat~ Class I structure permits are subject to the General Administrative Rnles of the State of Indiana (See 675 lAC 12) regarding expiration
rime frames for begiunteg amd completing construction,
l, the iladersiglled, agree t.~t al~.? c~as~.c, tion, recollstr~ction, e~axgerae~t, rekicat~oll, or alteration of a st~uctore, or any c~axlge m the use Of land or
structures r,~e~q~.~.ested by tl~s applicataon will comply w~th, and co~form to, all applicable laws of the State of Indiana, and the Zon~g O~inance of Ca~mel
Indiana- 1993 (Z-289) and amendments, adopted unde~ authority of LC, 35-7 et seq, General Assembly of the State o£ Indiana, and all Acts amendato~y
thereto. I further certify tt~ax only kitchen, bath, and floor dral~ axe connected to the sanitary sewer. I further cer t~y that the construction will not be
u~sed~or Occupiod unc2,d] 7 CercJ~c~ce o£Occ, upaL, c. rhas been issued by the Dcpartment~£ Community Services, ,C ,~el, Indiana.
OFFICE USE ONLY: ************************************************************************
Filing Fees: ~
INSPECrZ~ZRED:
~'g Under Slab
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
__~ # Cha~ed Re
Reviews
r~ ~ Additional Fees
TOTAL:
of Community Services (Date)