HomeMy WebLinkAbout06010002-ApplicationPROPERTY
OWNER:
LOCATION
& PRO3ECT
INFO:
City of Carmel/Clay Townshi£
Permit #:~~.
LOCATION PERMIT APPLICATION
mily~ Multi-Family~ & 1 New Structures, Additions, Remodels, & Accessory Structures
NAME. PHONE FAX
STREET ADDRES STATE ZIP
NAME
ffTREET ADDRESS
LOT # SUBDIVISION NAME
ADDRESS OF CONSTRUCTION
BEST METHOD OF CONTACT:
PHONE
FAX
STATE ZIP
SQUARE
SEWER UTILITY
NAME OF LrTILITY EXCAVATION CONTRACTOR PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S rIF APPLICABLE
SINGLE FAMILY
TOWN HOME
CD TWO FAMILY
# of units:
MULTI~FAMIEY
# of Units:
RESIDENTIAL(For
Additions, Remodels, Etc.)
Permit: Y ~N
Lot Split: ~Y ~
PROVIDER:
ESTIMATED COST OF CONSTRU ION:
FXCLUDING LAND VALUE) ~T~
TYPE OF [MPROV MEN :
CZ) NEW STRUCTURE
CZ3 ROOM ADDITION(S)
_C3/'PORCH ADDITION(S)
~' REMODEL
[]] ACCESSORY BUILDING
DETACHED GARAGE
A~FFACHED GARAGE
DEMOLITION
Manufactured .~
Trusses: Y
Sump Pump: ~Y __N
Does any part of the Property lie within a special Flood desig
PLUN~ ~B[NG CO
PI~
License #:
Which plumbing codes v
unternational Residential Code w/Indiana Amendments
iform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
[] CRAWLSPACE CD/f~OST & BEAM
]~ BASEMENT /
WALKOUT: v~ Y m
For Single Family and Two Family dwellings, additions, remodels,
within 180 days o[ the date of issuance of the building permit.
issuance date. Class i structure permits are subject to the General ~
time frames for beginning
I, the undersigned, agree that any construct~om reconstmcuon, enlargement, rdocatmn, or alterat~ot
S~rucmres requested by chis apphcation will comply with, and conform to, ~[l a ~
(Z 289) and amendments adopted under authority of [C 367 er se% General Asscmbl~
I further certity that only Idrchen, bach, and floor drains are connected to the saDicary sewer
[ or occupiec[~.x.
that the
has been issued by the Department of Cmnamunity Services, Carmel, Indiana.
Print
OFFICE USE
; expiration
: of land or
mendatory
Base Inspections: ~ # Charged
Reviews
Cert. of Occupancy: ~/ ~
P.R.I.F.: Additional Fees
TOTAL:
: Commun~Service~e)
~ ' e
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
~eter Base
Date