HomeMy WebLinkAbout05080137-ApplicationCity of Carmel~Clay Township ~ Permit #:
SIDENTIAL IMPROVE NT LOCATION PERMIT APPLICATION
For Single Family, Multi-Fa~: New Structures, Additions, Remodels, & Accessory Structures
PROPERTY
OWNER:
SrR£ET ADDRESS
PHONE
BEST METHOD OF CONTACT:
STATE ZIP
SQUARE
FOOTAGE:
I SEWER UTILITY/} · ~
PROVIDER , ~: ~ "~.~,~
CTOR; PLAN COMMISSION
SINGLE FAMILY
LJTOWN HOME
TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:
RESIDENT~L (For
Additions, Remodels, Etc.)
: . --- RHATL -i:
Early Release
Permit: Y ~_N
· #~ (IF APPLICABLE):
/~, Nk-~ SIRUCTURE
' ROOM ADDrDON(S)
[] PORCH ADDTT~ON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Manufactured
Trusses: ~<Y __N
ESTIMATED COST OF CONSTRUCi;~ION: .-~, , ~
Which plumbing c
[~1 Unlforet Plumbing Code w/Indiana Amendments
(Multi-Family C0nstru~on Code)
: (Check all that apply for the new
L//construction area}
[] CRAWl_SPACE POST & BEAM
Lot Split:
[~ SLAB,~ (~ BASEMENT
Does any part of the property lie within a special Flood designation area: Y ~_N N
For Shagle Family and Two Family dwellings, add/dons, remodels, and/or a
w/thin 180 days of the date of issuance of the building permit,
issuance date. Class I structure permits are subject to thc General Administrative
t~me frames t
I, the undersigned, agree that any construction, recons~act~oz
structures requested by this application wil/comply with, and conforca to~ all a
Indiana - 1993" (Z-289) and amendments, adapted under authority of I.C. 36-7 et seq,
thereto. I further cer~y that only ldtchen, bath, and floor &ains are comaected to the samtary sewer.
u ~se3tpr occupied until a C~c~ee o£O¢cup~r, cy'}~as been ~ssued by the Department of Community Services Carme~ Indiana.
Sigu~thm o~OWner or Authorized Agent: Print Date
Y ~_N Sump Pump: _~._Y N
d or
and all Acts amendatory
that the construction will not be
Filing Fees: ~ 0
REQUIRED:
Base Inspections: __~ # Char(~ed Re-
Reviews
Cert, of Occupancy:
P.R.I.F.:
TOTAL:
Fee Received by:
~ 0~ 7 0(~ AdditJonaJ Fees