HomeMy WebLinkAbout05110160-ApplicationOWNER:
LOCATION
& PRO3ECT
INFO:
SEWER UTILrrY
City of Carmel~C/ay Township Permit #
RE.SIDENTLAL [lV[PROVEM]gNT LOCATION PERlV[[T PLICATION
For Single Family, Hulti-Family, & Two Family: New Stru~ures, Additions, Remodels, & AC~ ~
~P~NE / F~
WATER UTILITY
PROVIDER:
ZIP
:AX
PHONE
STATE
ZiP
LOT # NAME
I SQUARE j /',-~__ ~
PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEFff~C PERMIT #'S/IF~APPL1CABLE): '~ ~ ~ '~ I
: TYPE: F IHPROVEHENT: PLUMBING CONTRACTOR:
,~ SINGLE FAMILY L~ NEW STRUCTURE ~
~ ~WN HOME
E~ ~F,~ ~ . U' ROOM ADDITiON(S) mber s Indiana State License #:
s:~,~.ni~:,,, [] PORCH ADDITION(S)
[] [] REMODEL
[] ACCESSORY BUILDING Which plumbing codes will be applied to the construcl:ion:
[] [] DETACHED GARAGE [] International Residential Code w/Indiana Arnendments
[] A'FFACHED GARAGE ~.U. niform Plumbing Code w/Indiana Amendments
[] DEMOLITION (MultFFamily Construction Code)
Early Release Hanufactured FOUNDATION TYPE: (Check all that apply for the new
Y ~_N Trusses: Y _~N_N construction area)
any part of the property lie within a special Flood designation area:
utes, ~hJs perr~i~ is vaiid only if construction cormnences
issuance da~e. Class I s~ruc~ure perm ~s are subjec~ ~o'.he Genera] Adm ~Jscradve Rules of [he S[AEe of India ~a (See 675 lAC 12) regarding exi?Jradon
dine frames for beginning and completing construction.
I Ehe undersigned, agree [ha: any cous~ruc~io~L reconstruction, e£J~rgeraenL rdocado~ or ~l~era[ion o£ a s~ruc~ure, or any change ~ Ehe use of land o~
sL~accures rcqucsr~cd by d~is appiJca:zon xxill comp]~ w~I~. and co~£orra Eo,.ai] appJJcao]e bws of Ehc SEa:e of Iudia~a, az]d ~be "Zomng Ordinance of Carmd
· ~6~7 e~ scq, Genera~ Assembly oI :~e S~a[e of Indiana. and aJ~ Ac~s amenda:ory
and floor drains are co.cc[ecl re d~e sam~ary s~wer, l'fur[her certify thaE the construction will ~o[ be
ghas bee~ issued by cbe Depar~mea~ of Communi[y Services. Carmel Indiana.
~NSPECT~ONS REQUIRED: Fees:
Upper Footing Lower Footing Under?~r~ - Base Inspections: # Charged
· Cert. of Occupancy: ~ f Reviews
Site
P,R.I.F.: ~ Additional Fees-