HomeMy WebLinkAbout05060104-ApplicationCity of Carrael /Clay Townshil~ Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
PHONE FAX
NAME ~ PHONE
ADDRESS CITY
INFO:
PROVIDER:
NAME OF UTILITY EXCAVATION OONTRACTOR; PLaN COMMISSION / BZA / 8PW DOCKEr
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
FAX
ZIP
E
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
[] TWO FAMILY
# of units:__
CD MULTI-FAMILY
# of Units:.
Additions, Remodels, Etc.)
TYPE ;FZM:-- - - -
NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
~D DETACHED GARAGE
AFl'ACHED GARAGE
[] DEMOLITION
Manufactured ~
Trusses: y
Pump: _~_.Y N
Whic~ f
[] International F
(Multi-Family Consb'uction /
F NOR' '; - : (Ch~lLall/t~at apply for b'a. new
construction area)
[] CRAWLSPACE C] POST & BEAM
~ SLAB ]~ BASEMENT
Does any part of the property lie within a special Flood designation area: Y _.~_.N WALKOUT:YN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is val/d only ffconstruction commences
within 180 days of the date of issuance of the building permit and must be completed (Cerefficate of Occupancy issued) within 18 months of the
issuance date~ Class I structure permits are subject to the GeneralAdministrative 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, reconstruction, enlargement, relocation, or alteration of a structure, or any change m the use of land or
stxucmres re,?.ested by this application w~ comply with, and conform to, allapphcable laws of the State of indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993 (Z-289) and amendmenss, adopted under anthotity of I,C. 36-7 et seq, General Assembly of the State of hadiana, and ali Acts amendatory
thereto. I further certify that onlykitchan, bath, and floor drains are comaected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a CertL~cat:e o£Occn, pancyhas been issued by the Department of Community Set,rices, Carmel, Indiana.
Filing Fees.
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........... Base Inspections:
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s ~nlt~R~ ~ 6f Community Services '-(D-ate)