HomeMy WebLinkAbout05080072--Application IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Struct. res
~DER of
RECORD:
PHONE
CTTY
FAX
Z[P
PROPERTY
OWNER:
LOCATION
& PRO3ECT
INFO:
NUMBERS'FAC DATE(S); AND~OR COUNTY WELL AND/OR SEPTIC PEEHIT #~J (]
TYE F N: R MN:
~INGLE FAMILY
OWN HOME
[] TWO FAMILY
# of units:
~"1~ STRUCTURE
[] ROOM ADDITION(S) #:
[] PORCH ADDmON(S) ~ /
[] REMODEL
[] ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
r ~(~ ~, ~-T~A~~ ~fltemational Residential Code w/Indiana Amendments
~? I:~' !A't'TACI'~ ED ~RA~E! .,~ .~ ~On:~. .
~ ', ~t ~; ?'~'m;~ ~ ' t_J Umferm Plumbing Code w/Zndlana Amendments
:~,, ~ .TYPE: (Check all that apply for the new
N "' 'construction area)
[] [] POST & BEAM
[] BASEMENT
WALKOUT: Y
Additions, Remodels, Etc.)
:
Early Release
Permit:
Lot Split:
Does any part of the property lie within a special
For Single Family smd Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff construction commences
x~rithin 180 days of the date of issuance of the building permit, a~d must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I sttucture permits are subject to the General Administrative Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that a~y consctuction, reconstruction, enlargement, relocation, or alteration of a su~acture, or any change in the use of land or
structures ~ effaested by this application will comply with, a~d conlorm to, all applicable laws of the State of h~diana, and the ~Zoinng Ordnance of Carmel
Indiana- 1993" (Z-289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembiy of the State of Indiana, and ail Acts amendatory
thereto. I further cert~/that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
t~d:~r occupied un~.Ger/rit'icate o£Occupa~cyhas been issu~the Department of Commuinty Services, Carmel, Indiana.
OFF~CE USE ONLY: ***********************************************************************
Filing Fees: [j (~ (J # ~ (~
REQUIRED:.---, . r-..,, ..-- .. ~
Base
[nspections:
'1~.~13 [ ~ ~.~ (J #ChargedRe-
Reviews
Cert. of Occupancy:
P. R.I.F.: Additional Fees
/ TOTAL: