HomeMy WebLinkAbout05050153-ApplicationRECORD:
City of Carmel~Clay Township U Permit #
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE
cTrY
BEST ME. tOD OF CONTACT:
OWNER:
PHONE FAX
STATE ZIP
LOCATION LOT # SECTION ZONING:
m PRO3ECT ~-~
INFO: s~u~.~
PROVIDER:
SEPTIC PERMIT #'S (IF APPLICABLE):
050
E] ~ (s)
GARA~
[] DEMOLITION
Manufactured ~ _N
_N
Which plumbing codes will be applied to the construction:
~-[fltematlonal Residential Code w/indiana Amendments
~ Uniform Plumbing Code w/indiana Amendments
(Multi-Family Construction Code)
F- NDATI -N TYPE: (Check all bhat app~w
EadyRelease construction am,) // ~-'~ //~
Permit: ~) CRAWLSPACE E3 POST ~EAM '~ .~-~'~,~-~.~ ~
LotSplit: [~ SEAB '~;;~'--BASEH~ % ./~. ~
~Does any part of_the property lie within a s_pecial Flood designation area: WAL~OUT~
~o~ $~¢ ~ ~,~d Two ~am~ dwc]~-ags, ~t~oas, ~emodc. ts, a~d/or ~cc~so~/s~xuctu~cs, this pc~t ~s ya~id o~1¥ ff co~s~uc~o~ commcoccs
w~ ]80 days o£r~¢ a~¢ of is~c¢ o£ d~¢ ba~a~S pc~t, ~d mus~ ~ com?]¢~cd (C~[c o[Occu~c~ issued) ~ m mo~ o[ ~c
~ce date, C~ I s~c~ ~ ~e subject to the ~ A~inistrafive RM~ of ~e State of In&~a (See 675 1AC 12) r~g ~Nafion
~e frmes for ~g ~d completing const~cfion.
I, the undergO, a~ee ~at ~y cons~c~on. ~om~c~o~ ~em~t, rdoca~on, or ~t~a~on of a s~c~re, or ~y c~ge M ~e u~ of l~d or
s~cmres ~u~t~ by ~s apportion ~ ~mply ~, ~d co~o~ to. ~ app~cable Nws of ~e S~te of ~a. ~d the "Zo~g O~ce of C~
~a - 1993' (Z-289) ~d m~. adop~d un~ au~oN~ of LC. 36-7 et ~q, Gen~ Assembly of ~e S~te of India, ~d ~ Ac~ m~to~
· ~eto. I ~ ~ ~at o~y ~tch~. ba~, ~d floor &~s ~e co.<ted to ~e s~it~ sew~, I ~her c~y ~at the cons~cfion ~ not ~
~r ~cupied un~ a C~t~te o[~c~cy~ ~ ~ ~e Deponent of Co~uM~ ~ces, C~el~ InCa.
OFFICE USE ONLY: ************************************************************************
Filing Fees:
INSPECTIONS REQUIRED:
~ ~ Under Slab Base Inspec'Uons: ~ # ChargedReviewsRe-
-- Cert. of Occupancy: ~$~-/
~D }P~' ~-,'[)"iS ~ i~{'~ ~{S I i/~ Additional Fees
~ Subject to comp~ianc~..~ w[¢,l a*i