HomeMy WebLinkAbout05030006-ApplicationCity of Carmel~Clay Township [q,J Permit #
RESIDENTIAL IIVIPROVEIV[ENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
?HONE FAX
PROPERTY
OWNER:
LOCATION
& PROJECT
INFO:
O
WATER UTILITY
PROVIDER:
FAX
J SQUAR~ ~ ,~
NUMBERS; TAC DATE{S); RND/OR COUNTY WELL AND/OR SEPTIC P~RMIT #L5 (IF APPLICABLE):
SINGLE FAMILY
TWO FAMILY
) of units:__
[]] MULTI-FAM!LY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.}
Early .Release
permit: Y
Lot Split: Y _~._N
Does any part of the property lie within a special
E :F m -::: - - :
~ NEW STRUCIURE
ROOM ADDITiON(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING Whic~ plumbing codes witl be applied to the construction:
[] DETACHED GARAGE '~,~ntemational Residential Code w/Indiana Amendments
~ATrACHED GARAGE [] Uniform Plumbing Code w/Zndiena Amendments
[] DEMOL1TTON (MuKI-FamJly Constm~on Code)
Manufactured
Trusses: Y )Q N
Sump Pump: /~'Y __N
For Single Fan,Jly and Two Family dwellings, additions, remodels, and/or accessory structures, onscenction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) wirJfin 18 months of the
issuance dare. Class I structure permits exc subject to the Ge~etsl Administrative Rules of the Stste of Indiana ( See 675 1AC 12) regarding expiration
rime frames for beginning and completing construction.
I, the undersigned, agree chat any consmaction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of la~d or
structures requested by this application will comply ;~vich, and corfform to, all applicable laws of the State of Indiana, and the ~Zoni?g_ Ordinance of Carmel
indiana - 1993" (Z~289) and amendmanrm, adoprmd Under anch6~t~ of I.C. 36~7 et seq, General Assembl[ of the State of Indiana, and all Ac~ am~datory
cbereto. I furr..ber certify ~at only kitchca, bath, and floor drains are connoted to the sanitazy sewer. I further certify that the construcuon will not be
used ~pi~.edu_n~CerritYcate o£OCcupancj~has been isanc~t by the Deparnnent of Community Services, Carrael, Indiana.
Filing Fees:
Under Slab Base Inspections: ~ '~ChargedRev~ewsRe-
Cert. of Occupano/:
P.R.T.F.: ~ ~ ~ ~ AddiUonal~