HomeMy WebLinkAbout05030047-ApplicationCity of Carmel/Clay Township
BUILDER
RECORD:
For Single Family, HulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY
OWNER:
aLOCA1TON
PRO3ECT
BUILDER'S EHAIL ADDRESS
NAHE
ZNFO:
PHONE
STREET ADDRESS ~ CITY
SECTION
SEWER ~ WATER Lr~L~TY
PROVIDER: PROVIDER:
NuN~E OF UTILITY EXCAVATION CONTRACTOR; PLAN COHHISSION / BZA / BPW DOCKET
BERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPUCABLE):
SINGLE FAMILY
HOME
[] TWO FAMILY
# of unit:s:
C~ MULti-FAMILY
# of Units:.____
C~ RESIDENTIAL (For
Additions, Remodels, Eh:,)
TYP ',- MP;-=_ - T:
~NEW STRUCTURE
ROOM ADDTHON(S)
[] PORCH ADDITION(S)
[] REMODEL
~u~
FOOTAGE:
ESTIMATED COST OF CONSTRUCtiON:
Plumber's ]
O ACCESSORY BUILDING Which plumbing codes will be applie~
C~ DETACHED GARAGE ~,~Zntemational Residential Code w/Zndiana
[] ATTACHED GARAGE
[] DEMOL]TZON ~Un form Plumbing Code w/Indiana Amendments
(MulU-Family Construction Code)
//~ Manufactured ~ ill that apply for the new
Permit: y ~/~d T ....... ~/v ,,, construction c:'C~ ~', ~,
Lot Split: Y_.~N Sump Pump: Y~ R Ce~P~nW~c~,~'¥ 'r~}~!i~
~r~ ]80 d~ys o£ thc date of issuance of thc buUd~ng permit, a~ct mus~ be comp~ercd (Cctr~qcate of Occu~a. acv tssuect¥,wdth/a r~'
zssuance date. Class I stnlcture taermita are subject to thc General Admi~strattve Rules of the State of indiana (S~reg~ng ~a~on
time frames for beginnin: construction.
or alteration of a structure, o~ any change in the use of land or
~f the State of indiana, and the ~Zo~Lng Oldinance of Carme]
r of the State of Indiana, and all Acts amendatory
and floor drains axe colmected to the sanitaxy sewer. I further certify that the construction will not be
'has been issued by tile Department of Cornr~unity Services, Carmel, Indiana.
Cert. of Occupancy:
P.R.I.F.:
Reviews
Add~an~l Fees
TOTAL:
Services (Date)