HomeMy WebLinkAbout05120036-ApplicationCity of Carmel/Clay Township peanut #
RESIDENTIAL IMPROVEMENT.LOCA ON PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
PROPERTY
OWNER:
& PRO3ECT
INFO:
PHONE FAX
BEST METHOD OF CONTACT:
NAHE PHONE FAX
~0oo ~ E/F
ESTIMATED COST OF CONSTRUCrlON:
SQUARE
FOOTAGE:
: P~P~III* #'S (IF APPLICABLE):
PL- -- C NTRA: R:
[] TOWN
E3 TWO FA
# of Units:
Additions, F
Early Release
Permit:
Lot Split:
Plumber's Indiana State License #:
[] REMODEL
C] ACCESSORY BUILDING
[] DETACHED GARAGE
[] All'ACHED GARAGE
Which plumbing codes will be applied to the construction:
[] IntemaUonal Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Mulfd-Family Construction Code)
OUNDATION TYPE: (Cheek all that apply for thenew
censtru~en area)
[] CRAW[SPACE [] POST & BEAM
[]] SLAB []] BASEMENT
Y N WALKOUT: Y_ N
Fo~ S~. glo Family and T~wo Family dwells, g_s, additions, ~raodels, and/or accessory struc~res, ~ pern~t is valid only ff construction coram~ces
wxthin 180 days of the date of issuance of thc building permit, and must be completed (Certificate of Occupancy issued) with~ 18 months of the
issuance date. Cla~ I structure permits are subject to the General Administ~tive Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time f~mes for beginning and completing construction.
l, the undersigned, ~gree tl~at any construction, ~re~cons ~t)'uction, en~ement, relocatSon, or alteration of a stractt~e, or any ~.ge in the use of land or
sm)ctures ~req~,u~esrgd by this apphcation will comply with, and con~orm to, atl applicable laws o£ the State o£ Indiana, and the Zoning ~ce of Carmel
Indiana - 1993 (Z~289) and amendments, adopted uncler authority of I.C. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatoty
thereto. I farther cer~y that only kitchen, bath, and ~?~.~r drains are connected to the sanitalT sewer. I further certify that the construction will not be
used or occupied until a Cetc//~care o£0~s been issued by the Department of Community Services, Carmel, Indiana.
~Owner or AuthorJzed~ Print Date
INSPECTIONS REQUIRED:
Upper Footing Lower FooUng Under Slab
Rough In Meter Base Final
(
Reviewed/Ap~
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
# Re-
Charged
Reviews
~ Additional Fees
TOTAL: