HomeMy WebLinkAbout05100198-ApplicationRESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDEI
RECORD
PROPERTY
OWNER:
& PRO3ECT
INFO:
PHONE FAX
BUILDER'5 EMAIL ADDRESS BE~ M~HOD OF CONTA~:
LOT ~ SUBDIVISION NAME SE~ON ZONING:
ADDRESS OF CONSTRUCTION
WATER UTi LiTY
=ROVIDER:
CT*
SQUARE
FOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
NGLAND VALUE) 4 44
TWO
C
codes will be applied to the construction:
na Amendments
Code w/Indiana Amendments
C DEMOLITLO~ ]NDIAI~4A (Multi-Family Construction Code)
Early l~ ease Manufactured FOUND.ATI NTYPE: (Check all that apply for the new
Permit.~- Y ~7_N Trusses: Y ~ N c~on area)
~ CRAWLSPACF [] POST & BEAM
Lot Split: Y ~&~L_N Sump Pump: __Y _~L_N j~ SLAB [] BASEMENT
Does any part of the property lie within a spedal Flood designation area: Y _L~_N WALKOUT:__Y N
For Single Family and Two /or accessory structures, this permit is valid only if construction commences
within 180 days of the date of Ls~uance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 6751AC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this apphcation will comply with, and conform to, all applicable laws of the State of Indiana, m~d the "Zoning Ordinance of Calmef
indiana - 1993 (Z~289) and amendments, adopted under authority of LC, 36-7 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 C'errJ£icare of Occupancyhas been issued by the Department of Community Services. Carmel Indiana
Signature of Owner or Authorized Agent Dat~ '
# Charged Re-
Reviews
Cert. of Occupancy:
P.R.I.F.: .~d~.Jjon al Fees
Mete
~eee Received bv