HomeMy WebLinkAbout05050208-ApplicationCity of Carmel~Clay Township Permit #
PERMIT APPLICATION
MulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUZLDER
RECORD:
STREET ADDRESS
PHONE ' FAX
STATE
PROPERTY
OWNER:
LOCATION
& PROIECT
INFO:
D OF CONTACT:
PHONE FAX
CtTY SLATE
ADDRESS OF CONSTRUCTION
WATER UTILITY
NUMBERS; TAC DAY-(S); AND/OR COUNTY WELL AND/OR SEPTIC PEP, NtT #'S (IF AP_PUCABLE):
-- ' : -: TYP --- : R VEMENT_:
~SINGLE FAMILY [] NEW STRUCTURE
[] TOWN HOME
[] TWO FAMILY
# of units:__
MULTi-FAMILY
# of Units:
RESIDENTIAL (For
Additions, Remodels, Etc.)
~ ROOM ADDITION(S)
PORCH ADDiTION(S)
~ REMODEL
C] ACCESSORY BUILDING
[] DETACHED GARAGE
[] A~rACHED GARAGE
[] DEMOLITION
ZIP
ZONING:
FOOTAGE:
Plumber's Indiana State License #:
Manufactured F- ;'*NDAT[ON TYP :: (Check all that apply for the new
Early Release
Permit: Y _.~_N Trusses: Y ._~N
LotSplit: Y_~N Sump Pump: '~L y N
Does any part of the property lie within a spatial Flood designation area: Y _~N WALKOUT: Y ~ N
For Single Family and Two Family dwe]lings, additions, remodels, and/or access~~s~t(~ ~i~i[~n commences
within 180 days of the date of issuance of the building permit, a~ad must be coml~3~ ~F~f~.~ .e~l~$a43gg4s~e~ ~$~ ~)nt hs of th~
issuance date, Class I structure permits are subject to the General Administrative Rules of t~, ng expxraUon
time frames for beginning and comnfetin~ co
I, the undersigned, agree that any construction, reconstruction, enlargement, relocati~ ~'~t~of land or
structures zeq~ested by this application will comply with, and conform to, all appUc~{~h~ ~f~a~a~-apd;~e ,'.~ge~C~ of Carmel
ldments, adopted undex authority of LC. 36-7 et seq, GeneralTt~se~n~T~l~ ~ datory
r kitchen, bath, and floor drains are cormected to the sarfita~y sewer. I fur I~li'~aat the construction will not be
y the Department of Community Serdces, Carmel, Indiana.
ONLY: *************************************************************************
Filing Fees:
INSPECTIONS REQUIRED: ....
~ase inspections: m -
Under Slab -~/ ~0 Reviews
Ce~. of Occupant:
P.R.I.F.: Addi~ai F~s
TOTAL: