HomeMy WebLinkAbout05090016-ApplicationCity of Carmel~ Clay Township{~?J~ Permit # :_ ~ ~L* ~. C~f~ ~ ~,
SIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of Nm~ ~ ¢
RECORD:
FAX
PROPERTY
OWNER:
LOCATION
& PROJECT
1'NFO:
NAHE PHONE FAX
[Z~TOWN HOME
TWO FAMILY
# of units:.
[] MULTI-FAMILY
# of Units:
[] RESIDENT[AL (For
AddiUons, Remodels, Etc.)
ORMA :
EaHy Release
Permit: ~Y _~_N
TYP ! M T:
~ STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Plumber's !ndiana State Licehse #:
cfc
Which plumbing codes will be applied to the construction:
[] Zntemational Residential Code w/Zndiana Amendments
[] Uniform Plumbing Codew/Zndiana Amendments
(MulU-Family Cons~rucUon Code)
Manufactured ~,~ ~,~L~: (Check all that apply for the new
area)
Trusses: .~Y _N
Lot Split: Y _~N Sump Pump: _~Y __N [] CRAWLSPACE [] POST & BEAM
[] SLAB ~ BASEMENT
Doe__s any part of the preperb/he w,thin, special F,~ dea,gnation area: _ ¥_~__N
For Single Family and Two Family dwellings, additions, remodels,
within 180 days of the date of issuance of the building permit, and
issuance date. Class I srtucmre permits are subject to the General Administrative Rules of the State o~y~ll'~g (See~7~ ~2C:~) ~eg~din~ expiration
I, the undersigned, agree that any construction, reconstruction enlargement relocation, or alter~
structures requested by this application will comply with, and cenform to, all applicable laws of t2[~lh~ ~dd~ E~g ~anfi~ oC~armd
Indiana - 1993~ (Z-289) and amendments, adopted under authority of 1.C. 3&7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that~o,~y kitchen, bath, and floor drains ar~,~c~ec~¢d m thg sa~tary sewer. I further certify that the construction will ngt be
used ~r ~ied unti~ a Cd~ca~e ~£ ~ccu~ncy has been issu~d by ~ b~t ~[G9mmuinty ~ervices~ Carmd~ ~ndiana. / /
# Charged Re-
Under Slab Base Inspections: ~~ Reviews
PRI
Fees