HomeMy WebLinkAbout05060226 - ApplicationRESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
SUBDIVISION NAME
C eelc SE O. 1'3
ZONING:
~-WER UTILITY J WATER UTILITY J ESTIMATED COST OF CONSTRUCTION:
~O~O~: ] L(EXCLUDING LAND VALUE)
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMtT #~J (IF APPLICABLE): l ~)
~ ~nse #:
C N U :
[] SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:.
[] /~ULT[IFAMILY # of Units.
~ RESIDENTIAL (For
Additions, Remodels, Etc
~NFORMAT~ON:
Early Release V//~N
Permit: Y
Lot Split: Y .~/N
TYPE F ROVEME :
~. [] NEW STRUCTURE
· [] ROOM ADDTTZON(S)
X~ PORCH ADD~'ZON(S)
!~TL.~ REMODEL
~ ACCESSORY BUILDING
9~.~:~ DETACHED GARAGE
~r~LJ ATTACHED GARAGE
/ [] DEMOLiTiON
Manufactured
Trusses: --Y ~NN
Sump Pump: ___Y
Does any part of the property lie within a special Flood
For Single Family and Two Family dwellings, additions, remodels, a
within 180 days of the date of issuance of the building permit, and
issuance date Class I structure permits are subject to the General Ad
time frames for beginn
I, the undersigned, agree that any construction, recons~ucdon, enLargen
sn'uctures requested by dzts application will comply with, and conform
Indiana- 1993" (Z-289) and amendments, adopted under authority o[ LC
thex~to. I further cert~ that only kitchen, bath, and floor drains axe corm
cnpa.~cyhas been issued by
Signa~re ~f Owner or Authorized Agent' ~
Which plumbing codes will be applied to the construction:
[] lnternaUonal ResidenUal Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(MulU-Family ConstruCtion Code)
FOUNDATLON TYPE: (Check all that apply for the new
constnJcUon area)
[] CRAWl.SPACE ~ POST & BEAM
[] SLAB [] BASEMENT
WALKOUT: X' Y. N
d only ff construction commences
cy issued) wit hi~ 18 months of the
See 675 IAC 12) regarding expiration
any change ~n the use of land or
d the 'Zon~g Oz~nance of Carmel
~en~ ~mbly of the State o1[ Indiana, and all Acts amendatory
:ted to the sanitary sewer. I further cerd~ that the construction will not be
ent o ommunity Services, Carmel, InflLana.
OFFICE
USE
ONLY:
h,J,t Filing Fees:
INSPECTIONS REQUIRED: '~'r=~ff
(~Upper Footing~.)Lower Footing U~ll~..~t~b~[_~,~rl_L~ul'~b
~ ~ubject tO ~i~e~i~Upa~tion~
~ ~D ~ ·
R~/~. ¢ ~ni~ ~i~ (Date)
s:~ ~D~ ~e ~lved ~