HomeMy WebLinkAbout05060092-ApplicationOCity ofCarmel/Clay Tow~hip ~Perm,t #~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDE~ of
RECORD:
PHONE FAX
-- __ N.'_-I - N:
~1~ SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:__
[] HULTI-FAMILY
# of Units:
[~] RESIDENTIAL IFor
Additions, Remodels, Etc.)
Early Release
- F ! - _ T:
~(~ NEW STRUCTURE
POOH ADDITION(S)
[] PORCH ADDITION(S)
[] REHODEL
[] ACCESSORY BUILDING
[] DETACHED
[] A'FI'ACHED GA~
DEMOLITION
Manufactured
~ ~n~l~ (~)~y~t ~ ~ ~on:
[] Uniform Plurnb~t&~/Xndiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
Permit: ~ Trusses:
. . . f~. . /~ [] CRAWLSPACE [] POST & BEAM TM
Lot Split. Y ~ Sump Pump. ~N [] SLAB ~,J~---BASEMENT
Does any part of the property lie within a special Flood designation area: _Y .~) WALKOUT: Y
For Single Family and Two Family dwellings, additions, remodels, and/or acce~sor7 s~rucrarcs, r.h~s permit is valid only ff constr~ucrion commences
w~rhin 180 da~s o£ Lhe date o£ issuance of the building l~-rn~t, and must be completed (Cext~cate o£ Occupancy issued) w~ t. kin 18 months o£ thc
issuance date. Class I structure permits are subject to the General Adnfiniscrazivc Ruins o£ the State o£ indiana (See 675 IAC 12) regarding expiration
rJ~ne ~ames for beginning and completing construction.
I, the undersigned, agree d~t any construction, rcconscmc~ian, cnl,~gemcnt, ~locar~on, or ~tcr arJ, on o£ a s~xucVarc, or any change ~n thc usc o£1and or
snmcvarcs r~uestcd by d'Js application ~ comply wir~ and conJorm to. ~ applicable hws o[ thc State o[ind~'~, and thc"Zon~g ~cc o£ Carmd
indiana - 1993' (Z-289) and amendments, adopted under anthod~y o£ I.C. 36-7 ct scq, Gencr~ Assembly o~ thc Sr~t~ o£ indiana, and all Ac~s amc~datory
thereto. I~rther cerdfy that only ldtchcn, bath, and floor drains arc connected to thc sanit~T s~wer. ! further cezt~ that thc construction will not bc
OFFICE USF ONly1 ********************************************F:ilIBg F~$: ~*************************
t~aseinspections: c>:~ /. ~ ,~
Under Slab Reviews
Cert. of Occupancy: ~/ -~
~ P.R.LF.: ~-oL ~* CfO AddiUonal Fees
TOTAL:
Dept. of Community Services
Fee Received by: /