HomeMy WebLinkAbout05050006-ApplicationCity of Carmel~Clay Township ~/\t/ permit #:
RESIDENTIAL IMPROVE1VIENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Familqf: New Structures, Additions, Remodels, & Accessory Structures
BUZLDE~ of
RECORD:
FAX
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
LOCATZON
& PRO3ECT
INFO:
SUBDIVISION NAME
__---'~:.~ P~R £ .:T~c'_
FAX
WATER UTILITY
PROVIDER:
PLAN COMMISSIO/~ / BZA/BPW DOCKET
IF APPLICABLE):
(31'
ESTIMATED Cos'r OF CONSTRUCTION:
Plumber's Indiana State License #:
~ DEMOLtT[ON
g codes will be applle~ to the construct:ion:
~,/lndiana Amendments
Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
· within 180 days of the date of issuance of the bnilding permit, and must be complefi/~
le, suance date. Class 1 ser tlcture lacrmit$ are subject to the General Administrative ~e~ff ~.~ ~a/( iration
time frames for beginning and completing c~ , ons_~ brucdon~.~ .~ _....~. ~ ~.--~-----o ·
~, the ..~=.~g.~, ~g=e ~at ~.~ co.~=~?~, ~=o~=c~o~, ~m=t, ~o=Uo~, o~ ~te=~m o~ ~ ~=.~;~.0?ge ~ ~e ~ o~ ~a o~
st~..¢tures ~u. ested by tl~ applicauon w~ comply with, and conform to. all applicable laws o£ the State o[ Indiana, and ~e Zoning ordinance of Carmel
lndiana- 1993 (Z-289) mzd amendments, ¢~lopted trader authorit7 o£ LC. 36-7 et seq, General Assmbly o[ the State o£ Indian~, and all Acts mendatory
thereto. I [urther certify tlmt only ldtchen, hath, and floor drams are connected to the sanitary sewer, I [nrther certify that the consmetion will not be
treed or occupied until a Cerzi~eate o£Occupoaw],,has been issued by thc Depment of Community Services, Carmel, Indiana,
OFFICE USE ONtY: **~ *******************--**********************--
· =";"~ =~-'Filing Fees. ~ ~ 2~~0
ZNSPECIXONS REQUlrRED. ~
Base Inspections: ~.5 0 # Charged Re-
Reviews
Cert. of Occupancy: ~"'-/, 5-0
'Additional Fees