HomeMy WebLinkAbout05120129-ApplicationB--~DE R of
RECORD:
PROPERTY
OWNER:
LOCATION
& PRO3ECT
INFO:
NAME
PHONE
FAX
5'TREET ADDRESS
BUILDER'S E~IL ADDRESS
NAME
BEST METHOD OF CONTACT:
PHONE =AX
CITY STATE ZIP
SECTION
S~UARE
r<)OTAGE: ~O13
NAME OF Lr~L3TY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S/[F APPLICABLE):
TYPE -F ON -R-: CT[CN:
~ SINGLE FAMILY
] TOWN HOME
[]] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
PR- _E-' INFORMATION:
Early Release ~
Permit: Y N
Lot Split: Y ,.~_N
TYPE OF IMPROVEMENI': PLUMBING; ~NTRACTOR:
~- NEW STRUCTURE
[]] ROOM ADDITION(S)
F- PORCH ADDITION(S)
El REMODEL
[]]] ACCESSORY BUILDING
[]] DETACHED GARAGE
[] ATTACHED GARAGE
[]] DEMOLITION
Manufactured Y ~ N
Trusses:
Sump Pump,' ~Y N
Plumber's Indiana State L
?tO dSt, C
Which ~ umb n,
.,~'~ntemational Residential C
(~ Uniform Plumbing Code w/
(Multi-Family Co
FOUNDA~ON TYPE:
construction ama)
~-CRAWLSPACE []
C~ SLAB C~
Does any part of the property lie within a special Flood designation area: Y ~.~_~1
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of thc building permit, and must be completed (Certificate of Occupancy issued I wirhin 18 months of the
issuance date. Class 1 strucrure permits are subject to the General Administrative Rules of the State of Indiana LSee 675 lAC 121 regarding expiration
time frames for beglnmng and completing construction
1, the undersigned, agree that ~my construction reconstruction, enlargement, relocauon, or alteration of a structure, or any change in the use o£1and or
structures requ. ested by this appticauon wm comply with, and conform to, a~l applicable laws of the State of Indianm and the 'Zomng Ordinance of Carmel
Indiana - 1993 (Z-289) and amendments, adopted under authority of LC, 36-7 et scq, Gcner~d Assembly of rhe State of Indiana. a~d all Acts amendatory
thereto. 1 further certify that ordy kirchen, bath and floor drams are connected to the sanirar) sewer I further certity that the construction will not be
used or occupied until a Cel'ti[ica£e ol'Occut~az~c'y has been issued by the Deparunent of Community Services. Carmel Indiana.
d A ent
S'g o ' g Print
OFFICE USE ONLY: ********************************
=ilin~
~NSPECT%ONS REQUIRED:
wer Footing Under Slab 3ase Inspections:
_ _ -- _ Cert. of Occupancy:
R CONSTRUCTION
!ian~b~i~ :a 1 regulations
POST & BEAM
BASEMENT y__~
WALKOUT: N
# Charged Re-
Reviews
Additional Fees
CQMMUN!'D/S
IND~