HomeMy WebLinkAbout05080220-Application'O
RECORD:
PROPERTY
OWNER:
City of tarred/Clay Township ~
RESIDENTIAL [iV[PROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME
PHONE FAX
S~ z~ / 0
P~ COMMISSION / B~ / BPW DOC~
.'OU~ WE~ ~D/OR SE~C PE~ff #'S (IF APPLICA~):
ZIP
(EXCLUDING LAND VALUE)
TOWN HOME
TWO FAMILY
# Of units _
MULTI-FAMILY
# of Units:__
RESIDENTIAL (For
Additions, Remodels, Etc.)
NEW STRUCTURE
R~M ADDITION(S)
PORCH ADDmON(S)
REMODEL
g Code w/Indiana Amendments
Const~ucti0n Code)
~N TYPE: (Check all that apply for the new
construction area)
Meter
~of~ntty Services (Date)
CeR. of Occu~n~: ~~O
P.R.I.F.:
TOTAL:
T~IS:
[] CRAWLSPACE ~ POST & BEAM
~1 Sump Pump: --Y ~/'L'N [] SLAB [] BASEMENT
Does any part of the property lie within a special Flood designaUon area: ~_~___N WALKOUT:__Y_2~__N
For Single Family an Two Famgy dwellings, adctidons, remodels, ~ncl/or accessory stanctures, tkis permit is valid
~xdthtn 180 days of the date of issuance of thc building permit, alld must be completed (Cert~cate of Occupancy issued) -RdthJn 18 months of the
issualxce clare. Class I serUcLaare laern~its are sllbject to thc Gerteral AdmblJstrative P. ules of the State of Indiana (See 6T$ IAC 12) regatdhlg exp,;xafion
time frames for beg~anLug and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargermmt, :elocution, or alteration of a structure, or any
stamctures ~..qu. ested by rJli~ application vdil comply with, ancl conform to, all applicable laws of the State of lndiana~ and the Zon~-lg O~es o£ Carmel
fudiana - 1993 (Z~289) and amendments, adopted under authority of LC. 35-7 et seq, General A~sembly of the State o£ Indiana. and all Acts amendatory
thereto. ! further cert~ that only kitchen, barlq and floor drains are coma<ted to thc sanitary sewer, I further certify that the construction will not be
used oleeccopied until a ~erclt~cace oFOccul~ancy has been issued by the~Depazt~aant of Community Services. Carmel, Indiana.
Filing Fees:
REqUm;D.
Under Slab Base [ns~ions: ~ ~, ~ ~ 0 # ~a~R~ewsRe-