HomeMy WebLinkAbout05090180-ApplicationCity of Carmel~Clay T hip Permit #
IMPROVEMENT LOCATION PERMIT APPLICATION
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PROPERTY
OWNER:
INFO:
SEWER
PROVIDER:
PHONE FAX
t'7 . 2 .
---. c -t.'
BI[ST METHOD OF CONTACT:
PHONE
ADDRESS OF CO~_.
BPW ~
PERMIT #'S (IF APPLICABLI~):
IESTJNATED COST OF CONSTEUCTiON:
(EXCLUDING LAND VALUE) L~j._~,
PLUMB~
Permit:
ACCESSORY BUILDING
C] DETACHED GARAGE
C] All'ACHED GARAGE
[] DEMOLITIO~
Manufactured
new
CRAW[SPACE & BEAM /
SLAB I~ BASEMENT /
WALKOUT:__ Y
~N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structure, this permit is valid, only if co.r{s .~m,c~ion commences
within 180 days of the date of issuance of the build/rig permit, and must be completed (Certificate of O?,upancy msued) v~_.t~ 18 m~nths o.f th,e
issuance date. Class I structure permits are subject to the General Administrative Rules of thc State of Indiana (See 675 ~C 12) ~g ~auon
time frames for beginning and completing constructiom
I, the undersigned, ~gree that any construction, reconstruction, enlargemenr~ relocation, or alteration of a struc~re, or any c_ ~.ge. in ~e .u. se of lan~ or -
structures ~re~,u~ested by tlais appl/cation wilt ccmply with, and conform to, atl applicable laws of the State of Indisna, and ~e Zoning Ordnance o~Cannm
Indisna - 1993 (Z.289) and amendman~s, adopted under authotity o£ I.C. 36-7 er seq, Gen. eralAssembly o[ the Stare.o£ fudiana, and alt Act.s me .n,.?atory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the samtary sewer. I further, certify that the ,c. onstructton will not be
used or occupied until qxCerr~care o[Occnpancy'has been issued by the Department of Commumty Semces. Carmel. Indiana.
$1gaatme of Owner or Authorized Agent
OFFZCE USE ONLY: *******************************************************-****************
F lng Fees: / ~
INSPECTIONS REQUIRED:
Upper FooUng Lower FooUng Under Slab
~--2 Meter Base ~ Site
Base Inspections: ~ # Charged Re-
Renews
Cert. of. Occupancy:
T