HomeMy WebLinkAbout05090105-ApplicationCity of Carmel/Clay Townshtp permit
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Yamily, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
RECORD.
OWNER:
LOCATION
& PRO3ECT
LOT #
BEST METHOD OF CONTACT:
PHONE
iNFn: ADDRESS OF CONSTRUCT[ON ~
SEWER IjTflJTy - ~ I WATER LrHL1TY .~ - ~
~; PLAN COMMISSION / BZA / BPW DOO(ET
NUMBERS; TAC DATE(S); AND/OR COUNTY %q (IF APPLICABLE):
FAX
SECCiON t ZONING:
SINGLE FAMILY
TOWN
SQUARE
FOOTAGE:
PLUMBZNG ~:ONTRACTOR:[--~ ~ Rqo~g7
ATTACHED GARAGE
DEMOLITION
[] Unifom
Early Release Manufactured DAT~ N TYPE: (Check all that apply for the new
Permit: Trusses: __Y ?~__N construction ama)
~ CRAWl. SPACE [] POST & BEAM
Lot Split: ____Y _~K._N Sump Pump: Y .~__N [] SLAB [] BASEMENT
Does any par~ of the property lie within a spedal Flood designation area: Y ~N WALKOUT: Y ~__N
7 and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff consttuction commences
s of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
[ssuanen date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that a~y consn'uction, reconstruction, enlargement, relocation, or alteration of a stracVare, or any change in the use of land or
structures requested by this application will comply with, and cor~orm to, all applicable laws of the State of in~ana, and the ~Zoning Ordinance of Carmd
Indiana - 1993' (Z~289) and amendments, adopted under authority of LC. 36J et seq, General Assembly of the State of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Ce. tr~care, ,y the Department of Community Services, Carmel, Indiana.
:~amer or Au~odzed Agent Print Date
............ ' Filing Fees: ._~,~ ~. '/./
INSPECTIONS REQUIRED:
Base Inspections:
Upper Footing Lower Footing Under Slab
Cert. of Occupancy: ~'/ 5
Final Site
Dept. of Community Services (Date)
# Charged Re-
Reviews