HomeMy WebLinkAbout05060028-ApplicationCamel~Clay Township Permit
PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE
BUZLDERof FAX
RECORD: --
~.DDRESS CITY ~rATE
PROPERTY
OWNER:
LOCATION
& PROJECT
TNFO:
C3 TOWN HOME
C} TWO FAMILY
# of units:
C3 MULTi-FAMILY
._.~/' # of Units:
~ ?SIDENTIAL (For
Additions, Remodels, Etc.)
Early Release
Permib
PHONE
~ STATE
!.' /N --i - I : PE FI R ,VEM NT:
[] SINGLE FAMILY [] NEW STRUCTURE
[] ROOM ADDITION(S)
~ PORCH ADDTT[ON(S)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
ATTACHED GARAGE
DEMOLITION
ESTIMATED COST OF CONSTRUCTION:
FAX
pecial Flood deaignation area:
Which plumbing codes will b ~ applied to the construction:
[] Uniform Plumbing Code w/Indiana Amendments
(Mul~-Family Const3'uc~on Code)
FOUN~: (Check all t~at apply for the new
[] CRAWLSPACE ~.~'~"'"-POST & BEAM
[] SLAB /' [3 BASEMENT
Y ~'~N WALKOLrr: Y
within 180 days of the date o£issuance of the bnilcting permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
~ssuance date. Class [ structure permits are subject to the General Administrative Rules of the State of Indiana (See 6751AC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any consumction, reconstruction, en~cmanr, relocation, or alteration of a structure, or any change ~n the use o£ land or
stxuccu~s ~csred by r~ application willcomply with, and conform to, all applicable laws of cbc Stare of Indiana, and r_he 'ZonL-~g C)rdinanc¢ o£ Carmd
Indiana - 1993 (Z-289) and am~admencs, adopted under aurhotity of I.C. 3&7 er seq, G~ne_~'al Assembly of thc Stare o£ Indiana, and all Acts amtmdarory
thereto. I further cetdfy rhar only k~rchen, bath, and floor drains ar~ connected ro cbc sanicaty sewer. I further certify that thc construction will not be
us~l or occupied until a Ccrrd~'cat~ o£Occu, paa¢.vbes be~n issp~l by the Department of Community Sctvice~, Carmel Indian~
Signa'~um of Owner or Authorized Agent Print Dnt~
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INSPECTIONS REQUIRED. ,. / ~/~-~ ~rl ~
HEL ' c;. ..... ?-
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