HomeMy WebLinkAbout05080054-ApplicationCity of Cc rmel/ Clay Township Permit
RESIDENTIAL
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BU:[LDER of
RECORD:
pHONE FAX
PROPERTY
OWNER:
STREET ADDP~5$
LOCATION
& PRO3ECT
INFO:
SEWER
~;PROV[DER:
PHONE FAX
crTY
SECTION
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERM]T #'S JIF APPLICABLE):
~C - "' - ~- --"'
~SINGLE FAMILY
~] TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:____
E~ RESIDENT~.L (For
Additions, Remodels, Etc.)
P;-- - N: R - - :
TYPE- FZM _ -. -:, :
~-~REW STRUCTURE
OOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGF
[] ATTACHED GAR
[] DEMOLITION
Plumber's Indiana ,'
Which plumbing codes will be applied to the construction:
~C~emaUonal ResidenUal Code w/lrndiana Amendments
[] Uniform Plumbing Code w/Zndiana Amendments
(Multi-Family Construction Code)
Ea ......... F ND- -: N - : (Check all that apply for the new,, ~
rly Kelease rqanutacgurea ..~- construction areal
Permit: ~-~Y--~N~ Trusses: _~_~ N '
L . ~.,'2% · ~N [] CRAWLSPACE [] POST & BEA
sp,it, sump P.mp.
-- [] SLAB -~i;g*-45&SEMENT
For Single Family and Two Family dwellings, addirion~, remodels, and/or acc~sory structure, ~ permit i~ v~lid only if construction commences
within 180 days of the date of ir, suance of the building permit, a~d must be completed (Certificate of Occupancy issued) within 18 monrh~ of rbe
i~lalace date. Cla~ I structure pe~mi~ arc subject ~o thc General Admini~mtiv¢ Rules of the Sta~e of Indiana (See 675 IAC 12) regarding expiration
time frames [or begJnmg and completing construction.
1. the undersigned, a~ee that any consr, mcdon, reco~smcdom enlargement, rdocadom or alteration of a structure, or any chamge in the use of land or
structures requested by this application will comply with. and conform m, all applicable laws of the State of indiana, a~d the ~Zoaing Ordinance of Carmel
Indiana - 1995" (Z~289) and amendments, adopted under authority of t.C. 56~7 et seq, General Assembly o[ ~e Stare of Indiana, and alt Acts amendatory
thereto, t further cerd~ that only kitchen, bath, and floor drains are cormecred to thc sanitary sewer. I further certify that the construction will not be
~ or occupied until a Cert~carc ot'Occnpancy'has been issued~¥ the Department of Community Services, Carmel, Indiana.
· gnatnm of Owner or Authorized Agent ,/Print ' Dato
O~ ONLY: ***********************************************************************
Filing Fees: