HomeMy WebLinkAbout05060191 - ApplicationCity of Carmd/Clay Township eermit
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
'r~~~:NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR ~
~INGLE ~, ~~ E~TRUCTURE
L3 TOWNf~E~_~ "~ \ O~I~ADDITION(S~
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U .P,.ES...!.DEN'r'~ ~ ~.~'~CHED GARAGE
PROJECT I~:
RECORD:
PROPER~ ~HE ~ ~ ' / ~ONE F~
OWNER: ~ - ~
CIF APP~B ~
PLUMBZNG CONT~OR:
Plumbers Xndiana ~ Li~n~:
io q0
lem~onM Residen~l ~de wJlndi~n~ ~mendmen~
~ Un~ Plumbing ~e wJln~i~n~ Amendmen~
(Hul~-F~mily ~n~on
FOUNDA~ON ~PE: (Ch~ ~11 ~ ~pp~ for ~e ~w
Pe~jEarly Rel~se Y~N Tru~s:Manufa~umd ~Y N ~n~on am~)
~ . I~ ~ C~W~PACE ~ ~&
Lot Split: ~ ~N Sump Pump. ~Y .N ~ S~B ~ ~ B~EHE~ ~
Does any pa~ of the pm~ I~~h~n ~m~ ~Y ~ ~ ~
For S~e F~ ~d Two ~y dw~, ad~om, ~od~ ~or a~o~ smcm~, ~ pe~t ~ v~d o~y ffcommc~on c~
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
issu~lace date~ Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstzuction, emlargement, relocation, or alteration of a structure, or any chm~ge in the use of L~nd or
stxuctures requested by this application will comply with, and conform to, all applicable laws o[ the State of Indiana, and the "Zoning Ordinance o[ Carmel
~diana - 1993" (Z-259) alad amendments, adopted under authority of I.C. 36-7 et seq, General Assembly o[ the State of Indiana~ and all Acts amemdatoty
thereto. I further cerdfy that only kitchen, bath, and floor drains are connected to the sanitaxy sewer. I further certify that the construction will not be
use~J or occupied until a ~t:.iBcate o£Occupa~cyhas been issued by the Department of Corn mu ~e~ j~tldLal;l a _
Signature of O~mer or Authorized Agent PHnt <-~ ~ ~ --
OF~CE USE ONLY: ************************************************************************
Filing Fees:
tNSPECT~ONS REQUZRED:
~ Base Inspections: ~ ~ cnargea ~e-
A ~ Reviews
"~ - }h all reoulations ~"~ · Add~Uonal F
DEPT OF COMMUN 'FY S~VICES , ,.~
/¢ z/"JCITh' OF CARMEL / C'" ~ TOTAL. _ o · / u - .
·
R~ Se~ic~" '~ .... ' ~ A