HomeMy WebLinkAbout06010004-ApplicationRECORD:
PROPERTY
OWNER:
LOCATION
& PRO3ECT
Permit #:_
IMPROVE NT LOCATION PERMIT APPLICATION
.. Familyt Multi-Family, & Two Family: New Structures, Additions, Remodels, & Acce~ory Structuro~
PHONE FAX
NAME PHONE
STREET ADDRESS CITY
INFO: _
SEWER UTILITY ~
PROVIDER' ~ ~L.~t~ PROVIDER: l,. ~____
FAX
STATE ZIP
LOT # SUBDIVISIO~N NAME SECT[ON ~L.~..e~j~
ADDRESS OF CONSTRUCTION I SQUARE
JFOOTAGE:
ESTIMATED COST OF CONSTRUCTION:
tfiXCLUDING LAND VALUE)
TYPE OFIMPR VEMENT:
,~'~NEW STRUCTURE
//[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
REMODEL
ACCESSORY BUILDING
C]] DETACHED GARAGE
C] All'ACHED GARAGE
Manufactured
Trusses:
.Z/SINGLE FAMILY
/[] TOWN HOME
[]]] T~NO FAMILY
# of units:
[] MULTi-FAMILY
# of Units:
[] RESIDENTiAL (For
Additions, Remodels, Etc.)
Early Release
Lot Split: --Y
Surf
Does any par~ of the property lie within a special
For Single Family and TwO Family dwellings, additions.
within 180 days of thc date of issuance of
issuance date. Class I structure permits are subject to the General Administranve Rules
OFFICE USE ONLY: **********
PLU ~
Reviewed/ApproveD: Deot. of Communlb~ Services
S:Permits/Form$/ILP RESIDENTIAL
Plumber's
wbi plumbing codes will be applied to the construction:
ternational Residential Code w/Indiana Amendments
CB Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
(Check all that apply for the new
POST & BEAM
BASEMENT ~
WALKOUT:Y ~/_N
if construction commences
wkhin 18 months of the
'See 675 lAC 12) regarding expiration
? change in the use of land or
' with ~md conform to. all apphcable laws of the Stare of indiana and the ~Zoning Ordinance of Carmd
ot I,C. 36-7 ct scq, General Assembl~ of the State of Indiana, and all Acts amendat~!~,
and floor drains are connected t£ the sanitary sewer I further certify that the construction]viii n~'be
bath Services. Carmel Indiana ~ /~[~.~
-
~ /,.~ ~[] a Charged Re-
Reviews
-
P. R.I.F.: Addtt~onal Fees
TOTAL:
(Date)