HomeMy WebLinkAbout05100103-ApplicationCity of Carmd/ Clay Tor~nship
Permit #:
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PROPERTY
OWNER:
-- PHONE
BUILDER'S EMAIL ADDRESS
NAME PHONE
STREET ADDRESS QTY
SUBDiViSION NAME
ADDRESS OF CONSTRUCTION
LOCATION
& PRO.1ECT
INFO:
BEST METHOD OF CONTACT:
:OST OF CONDUCTION:
(EXCLUDING LAND VALUE)
ZIP
ZONING: .- ~,~_ -
SQ ~-
(IF APPLICABLE):
: PLUM~T~[G CONTRACTOR:
ROOM ADDITION(S) ~nse #:
PORCH ADDiTiON(S)
] REMODEL
ACCESSORY BUILDING Which plumbing codes will be applied to the const~ucUon:
[] DETACHED GARAGE
[] [] A'I-I'ACHED GARAGE [] Uniform Plumbing Code w/Indiana Amendments
[] DEMOLITION
(Multi-Family Construction Code)
Early Release FOUND.-, ,, TYPE: (Check all that apply for the new
Perm;t:. construction area)
Lot Split. . ~CP~WLSPACE [] POST & BEAM
r~ ~ SlAB , ~--..J~ASEM ENT
special Flood designation area: Y ~ WALKOUT:y ZL.,-N/
within 180 days of thc date of i~suance of the building permit, and must be completed (Certificate of Occul~ancy issued) within 18 mon£ks of thc
iaauance date. Claes I structure permit~ are subject to the General Administrative Rnles of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing conatructiom
I, the undersigned, agree that any const~ction, reconstruction, enlargement, relocation, or alteration of a sUuccure, or any change in the use of land or
structures xequested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the ~Zoning Cax]inenes of Carmel
Indiana - 1993' (Z-289) and am~dments, adopted under authority of LC. 36-1 et seq, General Assembly of the State of Indiana, and all Acts amendatoty
theteto. I fun. her cer~ that only kitchen, bath. and floor drains are corm<ted to the samita~y sewer. I further certify that the construction will not be
used or occupied until a CeztL~_ca te o~Occu~cy has been issued by the Departing,hr of Community Services, Carmel, Indiana.
Signat6~re of Owner Dr Au~'~ed Agent ~
OFFZCE USE ONLY' ***********************************************************************
· Filing Fees: ~' .~ 0
Base Inspections: # Charged
- [ J;'VY OF CARMFL
~¢ommuni~ ~
Additional Fees