HomeMy WebLinkAbout05050180-ApplicationPermit
, IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER'S EMAIL ADDRESS
PHONE FAX
~7q
BEST M~-FHOD OF CONTACT:
OWNER: /L/~.~ ...~/~,
ADDRESS
LOCATION sum~s~o..AM[
ADDRESS OF CON~U~ON ~
PHONE
FAX
~ i.~N q~,o33
ESTIMATED COST OF CONSqRUCTION:
(EXCLUDING LAND VALUE)
[] SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:.
cD ~ULT~-FAMILY
_~ # of Units:__
~ RESIDENTIAL (For
Additions, Remodels, Etc.)
p 1: IN '~ .... :
- '- M :VEM. NT:
cD NEW STRUCTURE
cD ROOM ADDITION(S)
,~ PORCH ADDITION(S
cD REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATFACHED GARAGE
~ DEMOLITION
Which plumbing codes q
~ntemaUonal
~ Uniform
(MultbFamily 4
~N TYPE: (Checkallthatapplyfort~enew
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, recons _t~ction, enlargement, relocation, or altexation of a structure, or any c~ .h~n~ ~e. in the ~se of land or
structures requested by this applicarion wiU comply with, and conform to, ~11 applicable laws o£ the Ststc of Indiana, and the Zomng Ordinance of Carmel
Indiana - 1993" (Z-289 ) and amendments, adopted under authority of L C. 36-7 et seq, General Assembly of thc State of Indiana, and all Acts amendatory
thereto. I hrthex ce.~ that ogty kitchen, bath, axed ~Ioor drains a~e connected to the sanitary sewer. I further certify that the construction will not be
u~k,or o$~pR~kl~nt fl a Cere~care o[Occnpancy'has been issued by the Depana, nent of Community Service& Carmel. Indiana
OFFICE USE ONLY: ************************************************************************
Filing Fees: ~ ~ ~med
INSPECTIONS
REQUZRED:
Reviews
I Under Slab ~/. ~
Subject I0 COrn
Of ,
(jtV,
Additional Fees