HomeMy WebLinkAbout05120126-ApplicationBUZLDE,R. of
RECORD:
LOCATION
& PRO3ECT
TNFO:
PROVIDER:
IMPROVEMENT LO ATION PERMIT APPLICATION
Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
UILDER'S EM^IL 7-70
NAME PHONE FAX
CITY STATE ZIP
STREET ADDRESS
SUBDIVISION NAME
5C
WATER UTILITY
PROVIDER:
SECTION ZONING:
SQUARE
FOOTAGE:$~ *
ESTIMATED COST OF CONSTRUCTION: /,
(EXCLUDING LAND VALUE) ~
AME OF UTILITY EXCAVATION CONTRACTOR: PLAN COMMISSION / 8ZA / 8PW £
NUMBERS; TAC DATE{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
'~ SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc,)
P- I-'F- RMATI- N:
Early Release
Permit: Y
Lot Split:
TYPE_____O_~ PROVEM E NT_:
Manufactured
Trusses: Y 7Y~_N
Sump Pump: ~Y N
DEC 2 7
Construction Code)
FOUNDATION TYPE: {Check all that apply for the new
construction area)
CRAWLSPACE [3 POST & BEAM
SLAB
~ BASEMENT
Does any part of the property lie withina special Flood designation area: Y __~__N WALKOUT:~~N
~~Family dwellings, a~dels, and/or ac----~essory stru~mit is vaJJd only if construction commences
v~hi~ 180 day~ of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date, Class I structure permits are subject to the General Admimstrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction,
l. the undersigned, agree that any construction, reconstruction, enlargement, relocation, or akeraCion of a stzucture, or any change in the use of land or
[ ~c~s2e~d by t~s application wilt comply with, and conform to. all applicable bws of the State of Indiana, and the ~Z°ning Ordinance °f Carmd
~ndi'~ - 1993~ (Z-289~v]d amendments, adopted under authority of I.C. 3&7 ct seq, General Assembly of the State of lndiana, and all Acts amendatory
thereto.. I further cert~)~at oNy kitchen, bath, and floo~ drains are connected to d~e sanitary sewer. I further certify that the construction will not be
usf~'~r~occupied upt(i~ Ce~rqff4~:are~q£Occupa~cyhas been issued by the Department of Community Services, Carmel, Indiana.
Filing Fees:
Base Inspections: ~ 5 [' ~Y 5~d~ # Cha~ed Re-
Under Slab . ' Rewews
Cert. of Occupancy:
3
~erv~ces (Date)
P,R.I,F.:
~ Additional Fees
TOTAL: ~ ~ 3. ~/~'_