HomeMy WebLinkAbout05120030-ApplicationCity of Carmel/Clay TownshipPerm,t. #..
.EN..T IMPROVEMENT LOCATION PE1LMIT APPLICATION
g e I;amny, r4ulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
PHONE FAX
PROPERTY
OWNER:
BUILDEE~ EMAIL ADDRESS
STA'~
ZIP
FAX
ZIP
LOCATION
& PRO3ECT
INFO:
~UO~DE.: ~.XC, qr
Al ~[S); AND/OR COUNTY WELL AND/OR SEPTIC PERNFr #'$ (IF APPLICABLE):
~ NEW STRUCTURE
ROOM ADDITION(S)
....... ' ..... ~' ~,v s~:.~ (~C3 ..... §~,,~ '
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
ZONING:
~UARE
FOOTAGE:
P UMBI GC- .~ .: :-:
Plumber's Indiana State License #:
Which plumbing c~des will be applied tx) the construc, on:
~ IntemaUonal Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
pearly .Release f Manufactured .. ?~.~L~:
ermit, ~.~L_N Trusses: Y v/ N co~_~cUon area) (Check all that apply for the new
--Y V/N Sump Pump: --'--Y__~.N ~ CRAWLSPACE [] POST & BEAM
r~ -- L~ SLAB/ [] BASEMENT
pa of the property lie within a special Flood designation area:
s. act~uons, remodels, and/o~ ~ccessory serucrures, this pexmit is va[id only if constructiom commences
i within 18 months of thc
tL, n~ frames fu~ beginni~ and cornplcti~ ca.~m]rH,,. Indian~ ~See 675 IAC 12) regarding expitation
iply wide, and co~fonn r.o, ~ applicable L~ws o~th~ State o£ Lodi~m, and ~"Zo~ ~c¢ o£ Carmel
adopted u,n, der a,u~ority of I.C. 36-7 et sect, General Assembly of the State of Indiana, end atlActs amendatorv
an~ uoor orams are connected to the sarataxy sewer. I further certify that the construction will not'be
~ by the Depaxv. ment~Commun~ty Ser~ees, Carmel. Indiana.
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
TOTAL:
Additional Fees