HomeMy WebLinkAbout05010069-Application City of Carmel/Clay Township Permit #:(~-~ ~)/~
NT LOCATION PERMIT
· g ' Y, y, mJly. New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of NmE · PHONE FAX
BUILDER~ EMA~L AD[~RESS~ ~ . BEST MEll~OD OF CONTAC'F: i
LOCATZON
& PRO2ECT
ZNFO:
LOT #
SUBDMSIONNAME
~,DDRESS OF CONSTRUCT[ON
SECT[ON
FOOTAGE:
NAME OF UTILrW EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / ~PW DO~
NUMBERS; TAC DATE(S); AND/OR COUI~ WELL AND/OR SEPTIC PERMIT # S (IF APPLICABLE):
- -_ i- : : -: _ ' R _ EN~:
~ SINGLE FAMILY
[] TWO FAMILY %(~ ~
# of units:
MUL~-FAMILY
~ of Uni~:~
~ R~IDEN~L (~r
Add,ions, R~els, Etc.)
[] NEW STRUCTURE
[] ROOM ADDTHON(S)
[] PORCH ADDH-[ON(S)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED ~
[] A~I'ACHED GARAGE
[] DEMOLt-I~ON
Release
Permit:
it:
Which plumbing co~es will be a
(Multi-Family
Manufactured
Y __~__N Trusses: ~Y N construction area)
~y [] CRAWLSPACE
__Y ~'N SumpPomp: N [] SLAB
of the property lie within a special Flood designation area: y~ON
N
For. Sx~gle ~ .a:m~y azd Two F ~1.' y dwellings, ~dc~id?ns, remodels, ~or =~o~ s~cmt~, ~ ~t is v~d o~y ff co--on comm~c~
~ 180 ~ys of the ~te of ~ce o[ ~e bu~g ~t, ~d must ~ completed (C~re of ~up~cy ~ued) ~n 18 monks of the
is~ce date. CI~ I s~c~ ~ ~ subj~c to the ~er~ Adminls~dve R~ of ~e S~te of InCa (~e 675 IAC 12) r~g e~adon
dine ft~ for ~ng ~d completing cons~c~on.
Z, ~e unde~, ~ee ~C ~7 ~m~5R°g r<o~cdon, e~t, ~o~on, or ~t~on of a s~c~e, or ~y c~ge m ~¢ use of ~d or
s~c~ m~tcd by ~s app~c~n ~ co~ty ~, md co.om m, ~ app~ble ~ws of the S~te of In~a, md ~e "Zo~ ~mce of C~d
~ - 19 ~ ~-28~) ~d m~, adopted und~ aut~od~ of I.C. 36-7 et s~, G~ As~ly of the State of ~ ~d ~ Acts
· ~to. I ~.c~ ~t o~y ~tch~, ba~, ~d floor &~s ~e ~<t~ ~ ~e s~t~ s~. l ~her c~y ~t the ~t~c~on
us~ or ~c~i~ un~ a C~ca[e of Occup~cy~ ~en issu~ by~C~~e D~ent of Commu~ty Sedco, ~el, Ind--. ~J
~f ~ner or Au~ ~nt ~ ~
OF~CE USE ONLY: ********************************************************************
"
~ Ins~ons:
Up~r F~ng ~wer ~fing Under Slab ~ Re~e~
~~ ~ (Date)