HomeMy WebLinkAbout05080065-ApplicationCity of Carmel~Clay Townshil~ Permit #:
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, HulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory St~ucturea
RECORD:
SI~EIET ADDRESS
PHONE FAX
OWNER:
LOCATION
& PROJECT
INFO:
PHONE
QrTy
SECTION
ZONING:
SQUARE
D VALUE)
PLAN COMMISSION / BZA / BPW DOO(ET
AND/OR SEF~C PERMIT #'S I
TTIoNGLE FAMILY
WN HOME
ED TWO FAMILY
# of units:
v~ # of Units:~
0 RESIDENTiaL ~J -
Additions, Remodels, Etc.)
Early Release
P:-- - R:V:,-EN;
NEW STRUCTURE
ROOM ADD!q'JON(S)
[] PORCH ADDTI'ION(S)
[] REMODEL
ED DEMO~
g~E?T OF' CL)~/~ ,m41T¥
Permit: ""--7---'""i~-- Trusses:
Lot Split: __Y~ Sump Pump: y~ ~.EMEN~'AM
Does any par~ of the property lie within a W~KOUT: Y.
For. S?.~e FEnaly and Two F .a~.' y dwel~ngs, aa~aon$, remodel, and/or accessory structures, this permit is valid only ff construction commences
· warren 180 da__ys of the date of msua~ce of the .bnilding permit, and must be completed (Certificate of Occupancy issued) ~ 18 months of the
mananc¢ date. Class l structure perrmts are subject to the Ganesal Administrative Rules of the State of indiana (see 6~ iAC 12) ~ng e~isafion
time frames for beginning and completing construction.
l, the undersigned, agree ~har an), co?traction, recons _rruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
str~..ctures requested by this alaplicauon will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel
Indiarm - 1993" (Z-289) and amendments, adopted under authority of LC. 36-Z et seq, General Assembly of the State of Indiana. and all Acts amendatory
...usenc~ occupied nn~.~l~a Cert~cate o£Occupa~c, yhas been issuj~hy the Department of Community Services, Carmel, Indiana.
OFF~CE USE ONLY: **--**************--*******
Filing Fees:
Base [nspections: ~ # Charged
Reviews
Cert. of Occupancy:
P.R.T.F,: ~ ~ J~ (~) AddJ~Jonal~
:. c Services
FeeR