HomeMy WebLinkAbout05120116-Applicationt Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX --
ffFAT[ ZIP
PROPERTY
OWNER:
PHONE
FOOTAGE:
WATER UT[L.ri~
PROVIDER:
ESTJ[HATED COST OF CONSTRUCT~ , f
SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:__
MULTi~FAMILY
# of Units:
C3 RESIDENT]AL (For
Additions, Remodels, Etc.)
P E NF-- RMAT~ON_:
Early Release ~ N
Permit: Y
EW STRUCTURE
ROOM ADDITION(S)
PORCH ADDITiON(S)
C3 ACC
PLUMBING CONTRACTOR:
Manufactured
Trusses: )( Y N
[~L~L~: (Check all that apply for the new
construction area)
C3 CRAWLSPACE C~] POST & BEAM
Y~N Sump Pump: ~Y N (~ SLAB ~ASEMENT
part of the property lie within a special Flood designation area: Y ~N WALKOUT:__Y/~N
For Single Family and TWO Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
~ssuance date. Class I structure permits are subject to the General Adrainistrauve Rules of the State of indiana I See 675 lAC 12) regarding expiration
time frames tbr beginning ~nd completing construction.
I, the undersigned, agree that any consr~uction, zecons[ructton, ematgement, rdocat~on, or a~terat~on or a structure, or any ch~ang~ m the .u. se of land or
srzact~res teq~,ested by th[s apphcation wR[ comp]y ~virh, and conform to, all applicable laws of the State of Indiana, and the Zoning Ordinance of Carmel
indiana- 1993 (Z-289) and amendments, adopted under authority of I.C, 36-7 et seq, General Ass,e, mbly of the State of indiana, and a~ Acts amendatory
r~ereto, l [urthet ~ett~y that only ldtchen bath, and floor drains aze connected to the sanitary se~ er I further certify that the construction will not be
used~r occupied untiJ a ~ertJfJcare o[Occupancyhas been issued by the Department of Community Services, Carmel. Indiana.
Stg~n ture Of Ov~horizeO Agefft Print
F ng Fe~s:
~ ~ Base [nspecUons:
( Upper Foofing~ Lower Footi~ng~ ~J~b .~ ~ .~/~ ~v,~n~
Cer~. of Occupancy: __ ~.~
~ D ~ F ' ~' Additional Fees
Reviewed/Approved: DepL. of CommunJ~ Se~ices (DBLe)