HomeMy WebLinkAbout05080085-ApplicationPermit #
IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
UZLDER of
ECORD:
PHONE FAX
OWNER:
LOCATION
& PRO3ECT
BUILDER'S E~MA[L ADDRESS
STREET ADDRESS
PHONE
FAX
SECTION ZONING:
iNFO: ADDRESS OF CONSTRUCTION
SEWERUT~LrTy _ [ WATERUT~LTTY J EST[NATEDCOSTOFCONSI'RUCTiON:
ALUp)
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # S (IF APPLICABLE):
C] TOWN HOME
{~ TWO FAMI,.LY
# of units.
C] MULTI-FAM~Y
# of Units:_
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
P_ _ ~-. -=: ~ . :
TY=~;- R 'V 2--- -I :
,.~ NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[~] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A'ITACHED GARAGE
,~ DEMOLITION
FOOTAGE:
Which plumbing codes will b~
.~" Znternatlonal
C~ Uniform
(Multi-Family Construction Code)
Cert. of Occupancy:
P.R.I.F.:
Early Release ~. Manufactured FOUNDATI__ON TYPE: (Check all that apply for the new
Permit: . Y~X N~ Trusses: ~c~YY ~ N construction area)
~ CRAWLSPACE [] POST & BEAM
Lot Split: ~ ~N Sump Pump: N .~SLAB ,,~ BASEMENT
Does any part of the property lie within a special Flood designation area: Y <~_N WALKOUT: Y ~ N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff construction comme~ees
within 180 days of the date of issuance of the building permit, alld must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Admimserative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that an}' construction, reconstruction, enlargement, relocation, or alteration of a structure, or any ?.~.ge in the use of land or
~tmctures re~u. ested by r.l~s application wiit coraply with, and conform to, all apl?l~cabl¢ laws of the State of indiana, and the Zontug Ordiml~ce o f Carmel
hadiana- 199~ (Z~289) end amendments, adopted under authoriBr o£ I.C. ~6~7 et ~:q. Gensral Assembly of the Stal:¢ of indianm a:nd all Acts amendamrg
'.hereto. t tim:her cert~ that only kitchen, bath. and. tteor dra~s ~re connected to the sanitary sewer. I further c e~Jfy that: the construction ~ not be
nsedj~r oecupiod nm:il a Cerr. hS'c~t-e o£Occupancj~has been issued bythe Department of Community Scrvice~, Carmel~ Indiana,
~O~'
"gn et' Owner or Autflodzed Agent I~int
OFFZCE USE ONLY: ************************************************************************
Filing Fees:
Base Inspections: ~ ~ # Char~edReviews
Under Slab ~-/~