HomeMy WebLinkAbout06010031-Application Township Permit #:
? LOCATION PERMIT APPLICATION
Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PROPERTY
OWNER:
LOCATION
8, PRO3ECT
ZNFO:
BUILDER'S EMAIL ADDRESS ~ BEST METHOD OF CONTACT',
STREET ADDRESS c~rY STATE zip
SUBDIVISION NAME
SEWER Lr~LTTY
PROVIDER: ~ ~ ~ ~ PROVIDER:
PLAN COMMISSION BZA BPW DOCKET
TAC DATE(S); AND/OR COUNTY WELL AND OR SEPTIC PERMIT #'S .IF APPLICABLE)
TYPE_OF IMPROVEMENT:
I~SINGLE FAMILY
[] ~EW STRUCTURE
[] TOWN HOME -)~ ~/ [~'~ROOM ADDITION(S)
[] TWO FAMILY ~/ ~"i [] PORCH ADE~ITION(S)
# of units; ~./~ [] REMODEL
[] MULTI-FAMILY -~ [] ACCESSORY BUILDING
~ of Units;__ [] DEl'ACHED GARAGE
[] RESIDENTIAL (For [] ATTACHED GARAGE
Additions, Remodels, Etc.) [] DEMOLITION
Permit:
Lot Split: Sump Pump: 'Y
Does any part of the property lie within a special Flood designation area:
SECTION
ZONING:
EXCLUD
Plumber's Indiana
Which plumbing codes
~ ~nternational Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/~ndiana Amendments
(Multi-Family Construction Code)
FOUN DAT_~ON TYPE: (Check all that apply for the new
construction area)
[] CRAWLSPACE
JEt'SLAB
~N
[] POST & BEAM
[] BASEMENT
WALKOUT:
issued) within 18 months of the
(See 675 IAC 12) regarding exlT~r~tion
Df a structure or any change in the use of land or
te of Indiana and the ~Zon~ng Ordinance of Carmd
~ of the State of indiana and mil Acts amendatory
kitchen, bath, and floo.~ ~ffknnect ed rD the' sanitary sewer. I further certify that the construction will not be
Cerri[icate o£Occupa~c?has b~J~ig~d~d%y the Department of Community Services. Carmel. Indiana
OFFZCE USE ONLY: *******************
ReViewed/Approved: Pl~pt. oT~Communitv Services (Date)
/ .~ ~l ~--/0 # Charged Re-
Base
Inspections:
Reviews
b~/- fo
Cert. of Occupancy:
LI.F,:
TOTAL:
Additional F~-~-