HomeMy WebLinkAbout05030091-Application City of Carmel~Clay Township Permit #
RESIDENTIAL IMPROVEMENT LOC PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUTLDER of -- ~ ~*x --
RECORD: ~z~'- 2-~'/-')
; EMAIL ADDRESS
BERT MEI~IOD OF CONTACT:
~P~PE~TY , PHONE
NER: *-/07-
TNFO:
SUBDMSION NAME
PROVIDER: PROVIDER:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT
SECTION
(EXCLUDING LAND VALUE)
ZONING:~.~ __1
F~oUARE ·
~ SINGLE FAMILY
~TOWN HOME
[] TWO FAMILY
# of units:
[] MULTi-FAMILY
# of Units:_
RESIDENTIAL ~
Additions, Remodels, Etc.)
TYPE F lM :-- ENT:
~ NEVV S'FRUCTURE
ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATFACHED GARAGE
[] DEMOLITION
Early Release
Permit: __Y _~N
part of the property lie within a special Flood designation area: __ _
Manufactured
Trusses: Y ._~__N
Sump Pump: __Y _~N
[] Uniform Plumbing Code w/Indiana Amendments
(MulU-Family Construction Code)
FOUN~: (Check all that apply for the new
construction area)
l~h CRAWLSPACE ~C/'~ POST & BEAM
SLAB
[] BASEMENT
Y ~_N WALKOUT: Y N
time frames for beginning and completing =onstructinn.
I, the undersigned, agree that any construction, reconstruction, enla~gemant, zelocation, or alteration of a structure, or any change in the u~e of land or
sta~cmres ~equested by this application will comply with, and conform to, all applicable laws o£ the State of Indiana, and the 'Zoning Ordinance of Camel
indiana - 1993" (Z-289) and amendments, adopted under authorit7 of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amandatory
thereto. I fiather cer~ that only kitthe~, bath, and floor drains aze coxmected to the sa~tary sewer. I further certify that the construction will not be
u~ed or .occupied un~il a Cer~tL~cace o£Occutx~cyhas been issued by the Department of Community Serviees, Carmel, Indiana,
(Date)
ity Services
_c c~e~cof,~Occupa ncy:
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