HomeMy WebLinkAbout05030229-Application!R:
City of Carmel~Clay Township
Permit #:~(~~
For Single Family, Hultl-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
Q-fY STATE ZIP
r ADDRESS
SUBDIVISION NAME SECTION
STATE
WA' . , ES TED CONSTeU O.:
PROVIDER; ' ~ (EXCLUDING LAND VALUE)
NAME OF UTILrfY EXCAVATION CONTRACTOR; PLAN COHHISSION / BZA / BPW DOC~-F
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMiT #'S (IF APPLICABLE):
SQUARE
~ SINGLE FAMILY
C3 TOWN HOME
[] TWO FAMILY
# of units:
C3 MULTI-FAMILY
# of Units:~
[] RESIDENTLg, L (For
Additions, Remodels, Etc,)
F~MPR- VE - : PLUMBTNG (
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
ACCESSORY BUILDING Which plumbing codesv
[] DETACHED GARAGE
[] AITACHED GARAGE
[] DEMOLITION
~ Uniform Plumbing Code w/Zndiana Amendments
(MultFFamily Constmddon Code)
F~: (Check all that apply for the new
construction area)
[] CRAWLSPACE ~ POST & BEAM
[] SLAB [] BASEMENT
Y ~N WALKOUT: Y 2< N
time frames for beginning and completing construction,
I, the undersigned, agree that any construction, reconsmaction, enlargement, relocario~ or alteration o£ a structure, o~ any ~e in the use of land or
structures re,?.ested by this application wffi comply with, alad coxffexm to, all apphcable laws o£ the State o£ Indiana, and the Zoning Ordnance o£ Carmel
Indiana - 1993 (Z-289) and amendments, adopted under authority of I.C. 36-7 er seq, General Assembly of the State of Indiana, and all Acts amendatogr
thereto, I further cer tity that only kitchen, bath, and floor drains are cormected to the sanitary sewer. I further certify that the construction will not be
used or occup Occupancy'bas been ~ssued by the Dep _ax2tmant of Community Services. Carmel. Indiana.
Signat~re otrl~ner ~r Authored Agent Priht
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