HomeMy WebLinkAbout05020045-ApplicationRECORD:
PROPERTY
OWNER:
LOCATION
& PRO3ECT
ZNFO:
SEWER UTILITY ~ WATER UTILITY
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW ~
NUMBERS; TAC DATE(S); AND/OR COUNTY*WELL AND/OR SEPTIC pERMIT #'S {IF A PLICABLE):
City of Carmel~Clay Township Permit #:__
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Fomil¥: New Structure~, Additions, Remodels, & Acce~oq Structures
STREW' ADDRESS CITY' STATE ~IP
BUILDER'S EMAIL ADDRESS j~_~ BEST METHOD OF CONTACT:
cirry STA'IE ZiP
Es"r~MATIED COST
[] NEW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOL-~ON
SINGLE FAMILY
TOWN HOME
[] TWO FAMI,L,Y
# of units:
0 MULTI-FAMILY
# of Units:~
Manufactured
Trusses: Y _.~N
Sump Pump: Y
Y
Lot Split: Y _.~_N
Does any part of the propertl
Plumber's Zndiana
[] Uniform Plumbing Code w/Zndiana Amendments
(l'4U tt- Fam~,~?~'on code)
construction area) of S[a~e ;a~::~ Locat Coaes.
, ~ssucd) wi_thin 18 months of the
are subject to the General Administrative Rules of the State of Indiana (See 6~ IAC 12) regarding expiration
r. tion reconstrucUon, enlargement ~/W~ ~ c~ a~.c~,~g~ m the .u. se of ~a~ or .
11 comply with, and conform to, ~'~ 8/~e ~.~, ~ .~.~e~on/ng ordinance ot Carmet
adopted under authority of I,C. 36-7 et seq. General Assembly of the State of ~clLana, and all Acts amendatory
bath, and floor drains axe connected to the sanitary sewec, I further certify that the,e, onstructaon will not be
unOl a Certi[icatze ot'Occupancy'has been/ssuedby the Department of Commumty Services. Carmel. Indiana.
Print
UZRED:
Lower Footing ~)
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.LF.:
# Charged Re-,
Reviews
Addition~
of Community Services