HomeMy WebLinkAbout05050218-Application IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accesso~ Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
FAX
& PROJECT
INFO:
LOT # SUBD~/~SION NAME
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / RZA / ~P~,, DOCKL=T
NUMBERS; TAC DA~r.(S); AND/OR COUNTY WELL AND/OR SEF~C PERMIT # S (IF APPLICABLE):
C~ SINGLE FAMILY
TOWN HOME
[]TWO FAMILY
# of units:
[] MULTi-FAMILY
# of Units:
~ R~IDEN~L (~r
Addi~ons, R~els, ~.)
p :-- ~ =-- -- ! -- 1i :
TYPE - F ZMPR--V -: :
[] NEW STRUCTURE
[] ROOM ADDTI'[ON(S) Plumber's Indiana State License #:
~ PORCH ADDITiON(S)
REMODEL
[] ACCESSORY BUILDING Which plumbing codes will tm applied to the construction:
[] DETACHED GARAGE [] IntemaflonalResidenfialCodew/~ndianaAmendments
[] A~FFACHED GARAGE [] Uniform Plumbing Code w/Indiana Amendments
[] DEMOLTI-[ON (Multi-Family Construction Code)
For Single Family au Two Family dwellings additions, remodels, and/or accessory sumctures, this permit is valid only ff construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
isanauce dat~ Claes I structure permits are subject to the Gensral Administrative Rules of the State of lndiaua (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enla~ement, :elocation, or alteration of a structure, or any change in the use of land or
stvacrures requested by rlxis application will comply with, and conform to, all app~cabte laws of the State of Indiana, and the "Zonimg Ordinance of Carmel
indiana - 1993' (Z-289) and amandmenrs, adopted under authority of I.C. 36-7 et seq. General Assembly of the State of Indian~ and all Acrs amendarory
thereto. I further cer~ that only kitchen, bath, and floor drains are connected
· ~sed. or~.ocan, p[eg~anr.~ a Cerrd. Ocate o£Occ.panc?has been issued by the Depeltmant of Community Services. Carmel, Indiana,
. r-O ·
Upper Footing Lower Footin~m~K~e,r~l~ib' ua Lecai Cam;.: ~, ., Reviews
nl[~ Se Fee Recelve~