HomeMy WebLinkAbout05090147-ApplicationCity of Carmel~Clay Township t Permit #:
RESIDENTIAL IMPROVEMENT LOCATION
For Single Family, MulU-Family, Remodels, & Accessory Structures
BUILDER'S ENA[L ADDRESS
FAX
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
NAME PHONE FAX
LOCAl/ON
& PRO3ECT
INFO:
C~ TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY which
j # of Units:
CJ~ RESIDENTIAL (For []
Additions, Remodels, Etc.) [] Uniform Plumbin~
TY E FI- .-'-EM;- :
[] NEW STRUCTURE
~ ROOM ADDTI'JON(S)
[~ PORCH ADDITION(S)
[2] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATrACHED GARAGE
ZONING:
SQUARE
FOOTAGE:
~/ (Check al for the new
Permit:Lot Split: q TrusseS:sump Pump: YY~,¥<N [] CRAWLSPACE ~ POST & B~A,~4
[2] SLAB ~ [] BASEMENT
Does any par~ of the property lie within a special Flood designaUon area: Y k/ N WALKOUT: Y
structures~alid only ffco~
within 180 days of the date of issuance of the building permit, and must be completed (Cexxffieate of Occupancy issued) within 15 months of the
issuance date. Class I strucnu-e permits are subject to the General Adminiserative Rules of the State of Indiana (See 675 IAC 12) regzrding expiration
time frames for beginning and completing construction.
I, the undersigned, a~:ee that any construc_tion, reconstruction, eula~ement, relocation, or alteration of a struceare, or any change in the use of land or
structures requested by this application will comply v~th, and conform to, all applicable laws o£ the State of Indiana, and the ~Zonin~ Ordinance of Carmel
Indiana ~ 1~93~ (Z-28.9,) and am.an.d~. ?ts, adopted under authority of LC. 36-7 et seq, Ge)aeral Assembly o£ the State of Indiana, and ~tl Acts amendatory
thereto~ I fnsth, er ~ that o~.y kkchan, bath, and t~or dr~ns are connected to the sanitary sewer. 1 further certify that the construction will not be
used or occ~ied un~l a Cevr~'e~£Oscu~qhas bee. issued by the Departm~t of ~ramunity Services, Carmel, I.di~n~. ~.~
~gnatu~e of Owner or Autl]orl~e~ A~le nt Date
OFF~CE USE ONLY: **********************************************
~NSPECT/ONS REQUI'RED: ~j ,~ .... # Char~'ed Re-
. , _.~. ~ '* uase inspections:
unmer ~am Reviews
Additional Fees