HomeMy WebLinkAbout05080272 ApplicationRESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hull:i-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PROPERTY
OWNER:
PHONE
INFO: ADDRESS OF CONSTRUCTION
NAME OF 0TILTTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PEPJ~IT #'$ (IF APPLICABLE):
. -___-', -'.:-- - _ _ -:
J~"~NEW STRUCTURE
~ ROOM AODrr[ON(S)
4E~ PORCH ADmT[ON(S)
~ REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
-- E- N- - .-:
.J~"~SINGLE FAMILY
~ TOWN HOME
[] TWO FAMILY
# of units:_
C3 MULTI-FAMILY
# of Units:_
E~ RESIDENTIAL (For
Additions, Remodels, Etc.)
: I ' ' - _ i
/
(EXCLUDING L
State Ucense #:
Cert
P.R.I.F.:
Additional Fees
# Cha,'~ed
Reviews
~ ATTACHED GARAGE
,-~ ........... ~. ~.,~ [] Uniform Plumbing Code w/Indiana Amendments
u L~CmVU I zvfl _~.Q2:>:~ (MulU-Family Construction Code)
Permit: ~Y__~_~ N~ Tru--: ,~_._Y N construction ama)
Lot Split: ~~ Sump Pump: _2~_Y N [] CRAWLSPACE [] POST & BEAM
~ 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 if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree tha~ any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any c~ ~1~ .ge in the use of land or
structures ~.qu. ested by this a'ipplicarion will comply with, and canform to, all applicable laws of the State of indiana, and the Zoning Ordinance of Carmel
Indiana-1993 (Z-289~ an~ a~nend.~n~ants, adopted under authority of I,C. 36-7 et ~eq. Ganeral Assembly of the State of Indiana. and all Acts amen&tory
thereto. I further es.~rb~t ~ly/dt~han, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied ~n~te~o£Occupa~cyhas been issued by the I~epaztlnent of Cpn~nunity S~-vices, Carmel. Indiana.
Firing Fees:
Which plumbing codes will be applied to the construction:
~ International Residential Code w/~ndiana Amendments