HomeMy WebLinkAbout05020055-ApplicationCarmel/Clay
Township Application for Permit No.
HoU Improvement Location Permit Date
-- Roll File
Tbs permit is valid only if cons(motion is started within 180 days of the date of issuance for residential construction; and for commercial projects, within one (1)
issuance of the State Conunereial Dcsl~n Release. All constractio_n must be corn lc(ed c/o issue~ witlfm 7D ears of t).e issuance date.
PHONE FAX
STATE
TENANT NAME
OWNER
LOCATION
SUBDIVISION
A. TYPE OF CONSTRUCTION
1. ~' Single Family
2. [] Two Family
3~ [] Multi-Family
4. [] Commercial/Industrial
5. [] OTHER
(Specify) _
B. SEWER:
1 IH~ Public (N~ __
2. [] Private (County permit
C. WATER:
1. ~Public (Nameof:
E. ESTIMATED COST OF CONSTRUCTION
(Excluding Land Value) ~
Do pla~0s include a porch?
[ii Yes [] No
Type of Foundation
[] Crawlspace
~ Basement
PHONE FAX
SECTION
New Slructure
[] Addition: Porch Room
3. [] Remodel [] Commercial Tenant Space
4. [] Foundation Only
5. [] Demolition
Accesso~ Building
Garage Detached Attached
NO ~
NO /
~ NO
__NO ~
J. Manufactured Trusses
K. Plumbing Contractor
IRC Plumbing Code: []
Indiana Plumbing Code: [~ License #:~
YES
YES
YES
YES
_
Plumber's
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 - 1993"
(Z-289) and amendments, adopted under authority of I.C. 3'6-7 et seq, General Assembly of the State of lndiana, and all Acts amendatory thereto. 1 further
certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction wffi not be used or occupied until a
CeJ~f<cate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana. .
INSPECTIONS NEEDED.
~~ ~ nder Slab ou se
(Ptint) Filing Fees:
-- ' '~ ~'~ '~ Cert. of Occupancy:
.... P.R.I.F.:
S:Pennits/Fom~s/lLP54)2