Loading...
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