HomeMy WebLinkAbout05100013-Application #,
Permit .
IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
LOCATZON
PROJECT
[NFO:
ADDIU~SS OF CONS~UCHON
PLAN COMMLSSION / BZA / BPW DOO(ET
NUMBERS; TAC DATE(S}; AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
-- E-F N :: -:
SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:__
MULTI-FAMILY
# of Units:
RESIDENI'[AL (For
AddiUons, Remodels, Etc.)
EST[MATED COST OF CONS~[RUCT~ON:
(EXCLUDING LAND VALUE
PE --F- ! - ' ' -:
[] NEW STRUCTURE
[] ROOM ADD[DON(S)
_ ~ PORCH ADDmON(S)
~"~I[,EMODEL '~
~'~ A'~SORY BUILDING Which plumbing codes
[] DETACHED GARAGE U]
[] ATTACHED GARAGE [] Unifon
[] DEMOLITION
apply for the new
Y
Y ~ Sump Pump: Y__
property lie within a special WAU(OUT: Y N
, remodels, and/or accessory structures, this permit is valid only if construction commences
building permk, and must he completed (Certificate of Occupancy issued) within 18 months of thc
issuance dat~ Class I srructur~ permits ar~ anbj¢ct to the General Adntinistrarive Rnles of thc Sratrc of Indiana (S~ 675 IAC 12) regarding expiration
time frames for l~nning and completing construction,
I. thc undersigned, agree that any consrruc?n, reco~ .mlcrion, cnlargeme-r05-rd?rion, or ak~arion of a s~ .t~.uc~.rure. or any ch. ang~ in the .uf,~ of hnd or d
srr~crures ~qu.~sted by this application wilt comply varh, and conform to, all appiicabl~ laws of the State of Indiana, and the Zoning Ordinance o£ Carm
Indiana - 1993 (Z-289) and amandm~mrs, adopted under authority of I,C, 36-7 et seq, G~n~ral Assembly of the State of Indiana, and ~ Acts am~ndarory
I~~na rel~l~cm' I-~her cc~ that °nlY kitchen' bath' and fl°°r-~drains arc c°nnected t° the sanitary sewCr'r~r ~ issu~~S~rvices. Carmel, Indiana, ~__ Pdnt~ ~/ .~ ~I ~u~.~ her certify that thc ,c. onstrucrion will not he. ~
Upper Footing Lower Footing Under Slab
Meter Base ~ /~~
Cert. Df Occupancy: ~.~.._/ . ~___~ Reviews
P.R.LF.: Additional Fees
TOTAL: