HomeMy WebLinkAbout05110117-Application- City of Carmel/Clay Township Permit #:~
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
EMAIL
ADDRESS
ROPERTY PHONE
OWNER:
BEST M~THOD OF CONTACT:
LO~-O--~TION LOT # N NAME ZONING:
INFO: [ ADORESS OF CON~RU~ON ~B~ ~ ' SQUARE
-- ~ - ~ N: R ~ION: ~PE~F~MPROVEMENT: ~UMBING ~QNT~OR:
~ SINGLEFAMILY ~ NEW~RU~URE
~ TOWN HOME ROOM ADDISON(S) Plum~r's Indiana Sta~ Licen~ ~:
~ ~O FAMILY ~ PORCH ADD~ON(S)
~ of uni~: ~ REMODEL
~ MUL~-FAMILY · ~ Which plumbing ~des will be applied to ~e ~n~ru~on:
~ 0f Units:~ ~ ACCESSORY BUILDING
~ D~ACHED GAUGE ~ International Residen~al Code w/Indiana Amendmen~
~ RESIDEN~AL (For
Additions, Remodels, Etc.) ~ A~ACHED GAUGE ~ Uniform Plumbing Code w/Indiana Amendmen~
~ DEMOLITION
~RMA~ON: (Multi-Family Constru~ion Code)
[arl~ Rele~ ~anufa~ured ~ con~tru~ion ama)
Permit: __Y ~N Trusses:
Lot Split: Y ~ N Sump Pump: Y v N ~ C~W~PACE ~ PO~ A
-- -- ~ S~B ~ BASEMENT
D~ any pa~ of the prope~ lie within a special Flood designation ama: Y ~ WALKO~:__Y N
issuance date. Cl~s I struc[ure permits are subject to the GenerM A~mistradve Rules ot the State of Indiana ~ See 675 lAC 12) regard~g e~acion
nme Irames [or b~mmng and completing constructmn.
I, ~e und~signe& agree that any cons~rucnon, reconstruction, enlargement, reloca6on or ~teration of a structure, or ~y ch~ge in the use of l~d or
structures requested by this app~cation w~ comply wirh~ ~d coniorm to. ~ apphcable laws of the State of Indtm~a and the ~Zomng O~ce of Cmmd
India- 1993" (Z~289) ~d amendments adopqed under authorky of LC. 36~7 et sec Gencr~ Assembly of the State of In~ana and ~ Acts amenda~o~
thereto. I further cemfy that only k~tchen ba~,~n4 floor drams are connected to the samtary sewer. I further certify that the construcuon ~dl no~ be
~p~ u~ a C~ri[icate o[Occ~d&has been issued by the Department of Community Sen4ces~ Carmel. lndhna.
)~S:
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