HomeMy WebLinkAbout05060027-ApplicationRECORD:
City of Carmel/Clay Township permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAHE PHONE FAX
PROPEI~'r~ I.n~ PHO.E ~x
OWNER: ~A$ M, '~u~:H,~. _
~N FO-' ADDRESS OF CONSTRUCTION SQUARE
SEWERLfrILITY I WATERLFrIL1TY [ ESTINATED COST OF CONSTRUCTION:
~: -' '- ~ : -- - '- -_Et4-_ : PLUMBi'N · T-_- : · R:
C3 SINGLE FANILY [~ NEW STRUCTURE
[] TOWN HOME ~ ROOH ADDITION(S)
[] TWO FAHILY ~ PORCH ADDITION(S)
# of units: [] REFIODEL
C3 HULTi-FAMILY [] ACCESSORY BUILDING which
# of Units:__ [] DETACHED GARAGE [] International I
~ RESIDENTIAL (For
[] A'I-FACHED GARAGE [] Uniform Plumbing
Additions, Remodels, Et:,) [] DEHOLITION
(MulU-Family Construct/on Code)
Early Release . t4anufa,.ctumd constructionF i ATION TYPE:ama) (Check all that apply for the new
Permit: Y ~K~ N Trusses. __Y ~N ~RAWLSPACE [] POST & BEAM
Lot Split: Y..~__N Sump Pump: ~ _~__N ~. SLAB [] BASEHENT
Does any part of the property lie within a special Flood designation area: _Y ~N WALKOUT:__Y X N
For. S/?gle Family and Two Family dwelhngs, additions, remodels, and/or ~ccessury sumceares, this ]?ermis is valid only ff construction commences
w~thin 180 days of the dare of issuance of the building permir, and must~ be completed (Cercfficare of Occupancy issacd) w/th/n 18 months of'thc
issuance dace. Class I structure permits axe subject ~o thc Genera] Adm~nlsttative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construct.ton.
L thc undersigned, agree thac any' consmac?n, reco~s _m~ction, enlargemenr~ relocation, or a]~era~oa of ~ smacm~e, o~ any ~ge tu the use of land or
s~ruc~ures~es~edby~hisap~icat~w~c~mp~¥with~andc~n£~m~'a~app]icab~e~awsofth~$ta~f~ndiana~andd~ Zoning Ordinance o£ Carmel
Ind/ana- 1995 (Z~289)andamendm~nrs~ad~pr~dundarauth~ri~yofLC~3~7~cseq~Genera~Assemb~y.~fth~S~a~eofIndiana~anda~Acrsamendamry
thexem. I fu~her certi[7 thac only. kitchen, bath, and floor drains are conneered ~o the san/tary sewer. I further cert/fy, thar the consrxuctton will hOC be
Signature of Owner or Authorized ~gent Print
OFF~CE USE ONLY' ************************************************~******~***~***************
Filing Fees:
Base Inspections: ~ # ~ar.ged Re-
Cert. of Occupancy:
P.R,I.F.: ~- ~~ Ac~ltJon~l Fees
~, Services (D~e) __
S:Perra~'F0~snL, ReSmEm~n. ~-e Rer. e~ed"bv: