HomeMy WebLinkAbout05020084-Application CALL A~,t ~%?EDFTO~S
City of Carmel/Clay Township b~5-3514 Permit #.
RESIDENTIAL IMPROVE ERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, kddiUons, Remodels, & kccesso~ ~tructures
RECORD:
PROPERTY .HONE
OWNER: ~
~AGE:
INFO:
WATER UTILITY ESTIMATED COST
PROVIDER: (EXCLUDING LAND VALUE)
Null! pLAN COMMISSION / BZAI
MBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPT/C Pi~ #'S JIF APPUCABLE}:
HONE
[] TWO FAMILY
# of units:__
(23 MULT/-FA~!LY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
[] ROOM
[] PORCH
: ~lumber's ]
:ES I 6
10
ResidenUal Code w/Indiana Amendments
I Code w/Indiana Amendments
N TYPE: (Check all that apply for the new
construcUon area)
[] CRAWLSPACE ~/n°OST & BEAM
N [] SLAB/ [3~ BASEMENT /"
~opertyliewithinaspeclalFIooddesignaUonarea: Y v'N WALKOUT:Y V' N
ditions, reeno permit is valid, only ,',ff~ommences
uilding permit, and must be completed (Certificate of Occupancy uk~nsd) unthin 18 m,onths o~ th,e
issnsnce date. Class I structure permits ate subject to thc General Administrative Rnles of thc State of Indiana (See 675 IAC 12) tegarding exp~ratx°n
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 m ~e ,u. se o£ land, or ,
structures requested by this application will comply with, and conform to, ~ applicable laws of the State of indiana, and ~e 'Zon~ g ?,romance o~ carm~
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 Ac~ am~datory
thereto. I further cex~ that only kitchen, bath. and floor drains are connected to the sanitary sewer. I further cer tily that the constructaon will not be
,has been issued by the Department of Community Services, Carmel, Ind~an~
Print .d Date
OFklCE USE ONLY: ************************************************** **********************
Rling Fees: ~
Base Inspections: ~. OO # Charged--"~-~
Reviews
CerL of Occupancy: ~0 dC
Final P.R.I,F.: ,.~'-'~.Z. ~Q Addi'~onat Fees
Community Services (Date)