HomeMy WebLinkAbout06100099 Application
City of Carmel/Clay Township Permit #:()fo iOOd19
RESIDENTIAL IMPROVE~t.~~~~ APPLICATION
For Single Family, Town Home, &. Two FamilV!~tlCwllptBPl{:~'iljllhl\l~.:ml'lfbliR!le, &. Accessory Structures
oBlate anu L"ocarcoues.
BUILDER NAME: DEPT OfP>OOMMUNITY SERVICES FAX:
OF CITy' OF TOWNSHI
RECORD:
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STATE:
ZIP:
;)7~
PHONE:
FAX:
PROPERTY
OWNER:
OTY:
STATE:
ZIP:
I
..,
ZONING:
SECTION:
LOCATION
&. PROJECT
INFO:
S-'
SQUARE
FOOTAGE: to
SEWER UTILITY WATER UTILITY
PROVIDER: C A PROVIDER: C
NAME OF UTIUlY EXCAVATION CONTRACTOR; PI-"N COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUN1Y WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
ESTIMATED COST OF CON5j;RUCTION:
(EXCLUDING !-"NO VALUE) it J ,
3b C
FLOOD ZONE AREA DESIGNATION(S)
FOR THIS PROPERTY;
TYPE OF IMPROVEMENT:
cif"NEW STRUCTURE
o ROOM ADDITION(S)
o PORCH ADDmON(S)
o DECK ADDmON(S)
o REMODEL
_ Basement Finish only
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARAGE
o DEMOLmON
TYPE OF CONSTRUCTION:
Clt"sINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units being
constructed at this
time:
o RESIDENTIAL (For
Additions. Remodels. Etc.)
PROJECT INFORMATION:
FOUNDATION TYPE: (Check all that apply for the new
construction area)
o CRAWLSPAS> 0 POST & BEAM PIER
o SLAB ~ BASEMENT (WALKOUT:_Y ~)
_Y~
_YLN
Early Release
Permit:
Lot Split:
~_N
Y_N
Manufactured
Trusses:
Sump Pump:
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences within 180
days of the date of issuance of the building pennit, and must be completed (Certificate of Occupancy issued) within 18 months of the issuance date. Class I
structure pennits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration time frames for beginning and
completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or structures
requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Ordinance of Carmel Indiana -199r (Z~
289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a CertiliC1lte of
Ofcupancy has been issued by the Department of Conununity Services, Carmel, Indiana.
. .
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Print
OFFICE USE ONLY: ************* **** **********************************r************************* ***
INSPECTIONS REQUIRED: Filing Fees: . ,~77 , :::~
ru.;;;e[ Footi~wer Foot~ Under Slab Base Inspections: 7~_ ,..J # c::.:~r::Js Re-
5.-. ..-IV
~ --.......... Cert. of Occupancy: _ J L
CRough In ~eter Ba~,- Final Site,----l ~. 0'0
OcY- 'd- t
Additional Fees
~
Reviewed/ Appr v
S:Permits/Forms,lILP
Dept. of Community Services
DENTIAL
(Oate)
Date
Fee Received by: