HomeMy WebLinkAbout06010040-Application@
BUZLDER of
RECORD:
PROPERTY
OWNER:
City of Carmel/Clay Township
Permit
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
P,o.E :Y.C -_ :- 7_ _
LOCATZON
& PRO3ECT
LOT # SUBDtV[SION NAME
INFO: *oo=ss OF CONSTRUCT[ON
NAME OF UT[LTrY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEP~C PERMIT #'S (IF
SECTION
/
SQUARE
:AMILY
I~ MULT[-FA~.[LY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
--~- FIMPR :V~-~ _ :
_, NEW STRUCTURE
ROOM ADDITION(S)
[] PORCH ADDT~ON(S)
[] REMODEL
[] DEMOLITION
(Multi-Family Construction Code)
apply for the new
--~,~, NNY '"~--_y [] POST & BEAM
[] SLAB
I~1~ any pa~ o~- the prolmrt¥ lie wRhin a Sl~.qal Flood d~,~igna~on ama: Y ~"~'~ w.~&Kot, rr:Y~
within 180 days of the date of issuance of the must be comlalered (Certificate of Occupancy L~ued) within 18 months Of the
issuance date. Class I structure permits axe subject to the General Administrative Rules of the State of Indrana (See 675 IAC 12) regarding expiration
time frames for beginrang and completing construction.
I, the unde~stgnecl, ague that any construction, recousttucrion, enlargement, relocation, or ~reration of a structure, or any c~enge in the use o£1and
stamctures ~x~cl~ested by th~ application wilt comply with, and conform to, all applicable laws o£ the State of indiana, and the 'Zoning Oz~aance of Carmel
indiamt - 1993 (Z-289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiena, and all Acts amendatory
thereto. I further certify that only kitcb, en, bath, and floor drains axe enrmected :o the sanitary sewer, I further certify that the construction will not be
used ~ ~enj~ed unt~l a~` Ce~cate ~£ ~ccu~mcy ha~ been isened by th~epa~tment ~f C~mmunit~ Se~v~ces~ Carme~' Indian~
Filing Fees:
Reviews
~NDIAN
~ Services (Date)