HomeMy WebLinkAbout05020029-ApplicationCity of Carmel~Clay Township perm #:
R SIDENTIAL iMPRO3 EMENT LOCATION PE T PLICATION
~r ~ngle Family, MulU-Family, & ~o Family:'--"'" New ~ru~r~ AddiUons, Re~dels, & A~ ~u~s
NAME-,' PHON
OWNER:
LOCATZON
& PROJECT
INFO:
BUILDER'S EMA[L ADDRESS BEST METHOD OF CONTACT:
PHON FAX
ADDRESS OF CONSTRUCT[ON SQUARE
PROVIDER: PROVIDER:
pLAN COMMISSION
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTZC PERMTT #'S JIF APPLICABLE):
-- ~ ..- = ..--
SINGLE FAMILY
U] TOWN HOME
[2] TWO FAMILY
# of units:.
[] HULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Early Release
Permib
Lot Split:
TYP - - V M-NT:
[] NEW STRUCTURE
[] ROOM ADDTIION(S)
[2] PORCH ADDTI"ION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A'I-FACHED GARAGE
J~ DEMOLITION
(EXCLUDING [AND VALUE)
Which
[] Amendments
[] Uniform PlumbingCodew/~ndianaAmendments
(Multi-Family Construction Code)
FOUNDA~ON TYPE: (Check all that apply for the ne~v
[] POST 8~ BEAM
SLAB [] BASEMENrF
Y N WALKOUT:__Y N
F iss~ed) within 1~ rnom:hs of thc
o£ the Stat(: of Indiana (See 675 IgC 1~) regardin~ expiration
of issuance
issuance dace. Cle~s I structure permits are subject to thc (
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 b y rhisa pplication will comply with, and conform m, all applicable laws of the State of Indiana, and th e ~ Zorang Ordinance' * o fC armel
Indiana - 1993" (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts ame .n, datory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further, certify that the 5onstruction will not be
used or occupied until a Cer~.cat¢ ot'Occuprmcyhas been issued by the Department of Commumty Serrates. Carmel, Indianm
OFFZCE USE ONLY: ************************************************************************
Filing Fees:
ZNSPECTJONS REQUZRED:
Upper Footing Lower Footing Under Slab
Rough In Meter Base Final ~j~.~
Base Inspections:
Cert. of Occupancy:
P,R.I.F.: Additional Fees
Charged Re--
Renews
(Date)