HomeMy WebLinkAbout05050092-ApplicationCity of CarmeI/Clay Township
RESIDENTIAL IMPROVEMEN'I
--~-OPER~---
OWNER:
APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory
~ ~ PHQNE FAX
ET ADDRESS ~ CiTY STATE Z1P
BUILDER'S EMAIL ADDRESS' BEST ME-FHOD OF CONTACT: ~fl~ ~ -
NAME ~,~ PHONE FAX
$TPgET ADDRESS CITY STATE ZIP
LOCATION
& PRO3ECT
INFO:
SEWER UTILITY
PROVIDER:
:ONTRACTOR; PLAN COMMISSION / BZA /
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR S
[~ TOWN HOME
C3 TWO FAMILY
# of units:.
T~,FAMILY
# of Units:~__
[For C3
Additions, Remodels, Etc.) C~
IN :
Early Release '~ ~
Permit: Trusses:
Lot Split: Sump Pump:
Does any part of the property lie within a special~
~:es~ Idle nbe~:~Pj: e~wt ~in:ina:a=:e~ nd m e n t:s
[:3 Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
O D TI TYPE: (Check all that apply for the new
construction area)
I designaUon area: __Y V~N WALKOUT: Y
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any constraction, reconstruction, enlargement, relocation, or alteration of a structure, or any el~nge in the use of land or
st~acrures requested by this application will comply with, and conform to, all applicable Laws of the State of indiana, and the "Zoning Ordinance of Carmel
indiana - 1993" (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and ali Acts amendatury
thereto. I further cert~y that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or occupied until a Cetti[icate o[Occupamcyhas been issued by the Department of Community Services. Carmel. Indiana.
d Agent Print Date
OFFICE USE ONLY: ********************************************** ******* ***************
Filing Fees: ~~-~ ~0
..... [~NSPECTIONS REQUIRED: --
~~Upper 'ng ~ Under Slab Base Inspections: ~ # Ch~rg~ Re-
Cert. of Occupancy: ~/ ~ Reviews
Additional Fees