HomeMy WebLinkAbout05080268-ApplicationCity of Carmel/Clay Townshi£ ~' ~~ pe~it ~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
ZIP
OWNER:
LOCATION
& PRO3ECT
INFO:
PHONE
BEST METHOD OF CONTACT:
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/ 8PW DOCKEr
(IF APPLICABLE}:
STATE
SECTION
ZIP
FOOTAGE:
ESTIMATED cob-'r OF CONSTRUCTiO[~
(~Xa.U~)mG LA.O V~U~) -/"~ '~ 7~%~.°lg'.
Additions
p 1:- -N :; -;-- :, :
Early Release
[] ATTACHED G~/~OF
[] DEMOLITION
Manufactured
Trusses: Y _.~___N
~l~b~nbing Code w/Indiana Amendments
~l~-Family Construction Code)
-. :- AT,ON TYPE: {Check all ttmt apply for the new
construction area)
[] CRAWLSPACE ~ POST I~. BEAM
~..~_N SumpPump: yxTN ~ SLAB CZ} BASEMENT
Does any part of the property lie within a special Flood deslgnation~are~: _Y~__N WALKOUT:_ Y N
For Single Family and Two F ~a~y~welltngs, additions remodels, and/or accessory structures, this permit is valid only ff construction commences
within 180 days of the date pf~msuance of the building permit, and must he completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I strucgure permits are subject to the General Administrative Rules of the State of Indiana ~See 675 lAC 12) regarding expiration
time frames for beginmng and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement~ relocation, or alteration of a structure, or any c~h~ ~_ge in the use of land ~r
structures r,~e~..ested by this application will comply with, mad conform to, atl appli~ble hws o£ ~e S~te of ~, ~d ~e Zoning ~ce of Carmel
hldiana - 1993 (Z-289) and amendments, adopted under authority of I,C, 36-7 et seq, General Assembly of the State of In~, ~d ~ Ac~ ~&tow
thereto. I further certify that only kitchen, bath, and floor drahas are connected to the sa~taty sewer. I further certify that the construction will not be
Sigll~tum ~i~er or Authorized Agent p~nt Date
UIRED:
Filing Fees: ~ ~
P.R.IiF.: AddiUo'nal Fe~s
TOTAL: ~_~/-~ ~-