HomeMy WebLinkAbout05040211-ApplicationCity of Carmel/Clay Township Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
LOCA'IION
& P:RnO. 3ECT
INFO:
STREET ADDRESS cTrY STATE ZIP
SECIION
T ZONIN~:~_.
.5 /
ACCESSORY BUILDING
DETACHED GARAGF
[] AFl'ACHED GARA~
C] DEMOLITION
Manufactured ~ N construction area)
~N ~ CRAWLSPACE CD POST [
[] SLAB
Does anl r lie within a special Flood designation area: Y
· r~modd~,~md/o~ ~ccessory ~trocmr~.~: this p~rmic ~ ~d. only if ¢o.~m~c~en commence~
F~~rc subject to thc General A~tlv¢ P. ul~s o£ thc Stat~ of [ndian~ (S¢¢ 675 IAC 12) regarding expnarm~
time frames £o~ beginning a~ad completing construction. .
I, th~ u~cl~igned, agree that eny co~srmcd, o~, reconmucdor~ enlargcmem, ~el~dnn, o~ alter~o~ o~ ~ srroc~¢, o~ eny _~ ~_ge. m ~¢ ,u. se o~ 1anti. o~ -
structures re,q.u~ested by this application will comply wida, and conform to, all applicable laws o[ the S~te of h~, end t~e Zom?g Ordimnce o.[ Carme~
Indiena- 1993 (Z-289) end amendments, adopted undar autl}ority of I.C. 36-7 et se_q, General Assembly of the State of ha~en~ end ~ Acts am~m~
thereto. I furthe~ certify that only kitchen, bath, end floor drains are connected tO the samtary sewer, l. further, certify that the c, onstmcdnn wm not
jast~r3r occupied un~ a Certificate o£Occnt~nc? has been issued by the Department o£ Commumty Serrates, C ,a~nel. Indiana.
rized Agent
Under Slab
Sit~)
Reviewed/Approved: Dept. of Commumty Serrates (Date)
OTAL: