HomeMy WebLinkAbout05100152-Application ~ of Carmd/Clay Township Permit #:
IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PROPERTY NAME
OWNER:
STREET ADDRESS CITY STATE ZiP
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
CiTY STATE ZIP
LOCATION
& PROJECT
INFO:
LOT ;~ SUBDIVISION NAME SECTION
ADDRESS OF CONST~HCTLON .
PROVIDER: ~ PROVIDER: ~
~PE ~ ~PR VEMENT:
4GLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
P- JECT NF RMAT/ON_:
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[]] PORCH ADDITION(S)
[] REMODEL
[]] ACCESSORY BUILDING
[]]) DETACHED GARAGE
fi~t ATTACHED GARAGE
DEMOLITION
Which plumbing
J SQUARE
Base Inspections: ,~2~, ,5 (~ = Charged Re-
Reviews
Cert. of Occupancy: ~
P.R.I,F.: -- Additional Fees
TOTAL: ~
Fee Received
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base Final
Reviewed~ices
0 ~.z~.~
(Date)
N Y N
C3 CRAWLSPACE [] POST & BEAM
Y N [] SLAB [] BASEMENT
.~ property lie within a special Flood designation area: Y N WALKOUT:_ Y N
For Single FamLly and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) w/thin 18 months of the
issuance dare. Class I structure permits are subject to the General Administrative Rules ot the State of Indiana ~ See 675 IAC 12) regarding expiration
time frames for beginning and completing construction
I, the undersigq~ed, agree char any consrrucmon, reconscrucuor enlargement, rekicafion, or alterauon or a structure, or any change in the use of land or
structures requested by this application will comply w~rn and coniorm to all applicable laws of the State of [ndiana. mad the ~Zoning Ordinance of Carmd
Indiana- 1993' (Z-289) and amendments adopted under authority of LC. 36-7 et seq, General Assembl / of the State of Indiana. and all Acts amendatory
thereto. I further certify chat only kitchen bath. and floor drains are connected to the sanitary sewex I further certify that the construcuon will not be
used or occupied until a Cer~i[icare o£Occupancyhss been issued by the Department of Community Services, Carmel, Indiana.
· -- Print Date
OFFICE USE ONLY: ************************************************************************
Filing Fees:
(Multi-Family Construction Code)
FOUNpATION TYPE: (Check all that apply for the new
construction area)