HomeMy WebLinkAbout05110174-Application City of Carmel/ Clay Towttslti£ ~b Permit #:
LOCATION PE T PLICATION
For Single Family, Multi-Family, & Two Family: New Stru~ures, Additions, Remodels, & A~ow S~u~
BUILDER of UAME ~ , PHONE ~
RECORD: _ ~'O-- o
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
NAME
OWNER: STREET ADDRESS ~ CITY
LOCAT/ON BUBmVIS~ON NAM--~-~
INFO: ADDRESS OF CON~U~ON
[] TOWN HOME [] ROOM ADDITiON(S)
[] TWO FAMILY
/3 PORCH ADDITION(S)
# of units:__ /3 REMODEL
/3 MULTI-FAMILY /3 ACCESSORY BUILDING
# of Units:__ [] DETACHED GARAGE
[] RESIDENTIAL (For CZ) AFl-ACHED GARAGE
Additions, Remodels, Etc.) [] DEMOLITION
PHONE
FAX
STATE ZIP
SECTION ZONING:
Plumber's Ind State License
Which plumbing codes will be applied to the construction:
[] international Residential Code w/indiana Amendments
~ Uniform Plumbing Code w/indiana Amendments
(Multi-Family ConstrucDon Code)
.I:OUNDAT~ON TYPE: (Checkallthatapplyforthenew
construction area)
/3 CRAWLSPACE /3 POST & BEAM
C SLAB [~ASEMENT
Manufactured
Permit: __Y ~'N Trusses: y
LOt Split: __Y ~ Sump Pump: t./Y N
Does any part of the property lie within a special Flood designation area: ¥ ~/"N WALKOUT: Y.~N
For S.i~gle Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid Dray ff construction con~
within 180 days of the date of issuance 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 lndiana I See 675 lAC 121 regarding expirauon
time frames for beginning and comp eting construction.
h the undersigned, agree that any construcuon~ reconstruction emargemcnt, relocation or alteration of a structure or may cnange/~a the use of land or
s~ructures requested bv this application w//l comply with. and conlorm to. all applicable laws of the State of Indiana and the ~Zoning Ordinance of Carmel
r[ndiana - 1993' (Z-289) and amendments adopted under authority ol I.C. 36~? et seq, General Assembly of the State of Indiana and all Acts amendatory
hereto 1 further certit~ tha o~tly kitchen, bath and floor drains are connected to the sanitar~ sewer I further certify that the construction will not be
s been issued by the Department o~ommuniry Se~wices, Cm-meL lndiana.
:dgnatore of Owner or Authorized Agent Print
OFF~CE USE ONLY: **********************************************************************--,
Filing Fees:
INSPECTIONS REQUIRED:
, ~¢ # ChaTged Re-