HomeMy WebLinkAbout05090023-ApplicationG RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICA
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME ~ PHONE FAX
RECORD:
BUILDER'S ENAIL ADDRESS BEST METHOD OF CONTACT:
cFRwONPERTY ~O.E
ER:
LOT # .SUBDM$ION NAME SECTION ] ,ZONING:
& P:R~O. 3ECT
1*NFO:
NUHBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF ~CABLE):
[] TOWN HOME
[] TWO FAMILY
# of units:
MULTI-FAMILY
. p :;: I !: ~ EN _:
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
Additions, Remodels, Etc.)
__-" - : -_=_::
[] ATrACHED GARAGE
[] DEMOLITION
new
Permit: Y / N construction area)
{~ CRAWLSPACE ~ POST & BF_A~
Lot Split: Sump Pump: Y ._z~N [] SLAB [] BASEMENT
Does any part of the I r lie within a special Rood designation area: Y _,~N WALKOUT: Y _N
I, the undersigned, agree that any construction, reconstractio~, enlargement, relocation, or alteration of a sUmctuse, or a~y c~ange in the use of land or
atructures ~equested by this application will enmlaly w~th, and conform to, ali applicable laws of the State of Indiena. and the Zoning ordinance of Carmel
[mliana - 1993" (Z-289) and amendments, adopted unde~ authority of I.e. 36-7 et seq, General Assembly of thc State of ~ and all Acts amendatol7
theter~urc~r~ cettffy that only kitchen, bath, and floor drains a~c coma<ted to the sanitary sewer. I further ceer~y that thc construction will not be
used~e~ o~t~v~ until a Cerz~cate o£Occu~a~cyhas been issued byS~-~epartment of Cojamun~ty Services, Carmel, Indiana.
~lj~fftbre of Owner or Authorized Agent Pri~: / D~ '/
OFFICE USE ONLY:
Cert. of Occupancy:
P.R.LF.: //
Filing Fees: ~
Base Inspections: # Char~ed Re-
AdditJor~al Fees
Community Services