HomeMy WebLinkAbout05080160-ApplicationCity of Carmel~Clay Township '~'- permit #
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structuras
PHONE FAX
OWNER:
LOCATION
& PROJECT
INFO:
PHONE
BEST METHOD OF CONTACT:
VAX
/
NAME OF UIlLITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOO~T
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICAtlLE):
{~-SINGLE FAMILY
TOWN HONE
[] TWO FAMILY
# of units:
[] NULTI-FANILY
# of Units:____
RESIDENTIAL (For
Additions, Remodels, Etc.)
Early Release
Permit:
Lot Split:
--f-: FI- :-- =- -T:
~ STRUCTURE
[] ROOM ADDITION(SI
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GAR,'6'
[] A~'FACHED GAP
[] DEMOLITION
Manufactured
v -~ Trusses:
Sump Pump:
PLUMBtNG
[] CRAWLSPACE
~ SLAB
Does any part of the property lie within a special Flood designaUon area: WALKOUT: Y
rem is valid only ff~
withLn 180 day~ of the date of issuance of the building t~.rmic, and must be completed (Cert~icase of Occupancy issued) withh~ 18 months of the
Jsane-nce clat~ Cla*s I structure pcrmi~ are subject to the General Administrative Rnles of the State of Indiana (See 675 IAC 12) regarding e. xpLrarion
t~me frames for beginning adad complerjng construction,
I, the undersigned, agree rl~ any constzuction, teconsrmc~on, enlargement, relocation, or alteration of a s~rucmre, or any change L~ the use of land or
sm~cmres r,e~?~ ested by this application will com~_ y wirJa, and conform to, all applicable laws of the State of Indma, and the 'Zoning Ordrnance of Cazmel
Indiana ~ 1993 (Z-289) and amendment, s, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of I~disna, and all Acts amen&tory
thereto. I further ce~ that only kitche~ bath, and floor drains aze cozmccsed m the santmzy sewer. 1 further certify that the constenctton will not be
~t~r occupied unO1 a Certificate o£Occnpancyhas been isan~r~by the Del~rtment of Community Servlce~, C~I, Indisna. ~
OFFZCE USE ONLY: *********************************************** ~***
Reviewed/l
S:PermJts/Fo~
Filing Fees:
~ Under Slab Base Inspections:
Cert. of Occupancy:
~P.R.'I.F.:
roved: Dept. of Community Services (D~fl:e) '
~ 5'0 -# Ch~med~
Reviews
Additional"~-~-