HomeMy WebLinkAbout05020127-ApplicationO C'i,~ of Carmel~Clay Township Permit #:
RESIDENTIAL 'PERMIT APPLICATION
For Single Family, Haiti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER of .A.E
RECORD: ~6 6¢-T
t NAME
OWNER: ~F_.
I STREET ~DDR~qS
LOCATION
& pRO2ECT PT
TNFO: ADDRE$5 OF CONSTRUCTION
SEWER UIILrI~
PROVIDER: PROVII~R:
FAX
PHONE FAX
ESTIMATED COST OF CONb-rRUCTION:
(EXCLUDING LAND VALUE)
I~ID/OR COUNTY WELL AND/OR SEPTIC PEPJfllT #'S (iF APPLICABLE): ~,~
000
r'l TWO FAMILY
# of unrra:
[] MULTI-FAMILY
i '
# of Unto.__
[] RESIDENTIAL (For
Additions, Remodels, Etc,)
Which plumbing
[] Uniform Plumbing Code
{MulU-FamJly
TYP , - '- ENI:
[] NEW STRUCTURE
[] ROOM ADDTrION(S)
[] PORCH ADDrrloN(S)
[] REMODEL
[] AI-I'ACHED GARAGE
[] DEMOLITION
FOUN.DAT/ON TYPE:
Early
D~,;lease / construction ama)
Permit: N Trusses: ~/_Y N
[] CRAWl. SPACE [] POST & BEAM
Lot Split: N ~SLAB [] BASEMENT
Does any par r lie within a special Flood designation area: Y [//N WALKOUT:_
Y .N
For Single Family and Two Family dwellings, a s, and/or accessory structures, this permit is valid only ff construction commences
witlfin 180 days of the date of ~suancc of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
l~suanee dat~ Cla~ I structure pernuts are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
dine frames for ~:i~aiag and completing construction.
I, the undersigned, agree that any consmaction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures t[q.u, ested by this application will comply wide, 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. 36-Z et seq, General Assembly of the State of indiana, and all Acts amendatory
thereto, I furthc~ ccrt~ that only kite. hem bath. and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Cett~care o£Occnpancy'has been issued by the Department o£ Community Serviens,
$ig~tum of Owner or Authorized AGent ~ -- --
~N 0~'t'47 TOTAL:
Se~ces (Date)