HomeMy WebLinkAbout06010021-Application NAME
BUILDER of ~~ ~,o~m~,.x>-r~c>~]
RECORD:
BUILDER'S EMAIL ADDRESS
NAME
PROPERTY
OWNER:
For Single Family, Multi-Family, & Two Famity: New Structures, Additions, Remodels, & Accessory Structures
~ SINGLE FAMILY
[] TOWN NOME
CD TWO FAMILY
~ of units:
[]] MULTI-FAMILY
(~/R # of Units:.
ESIDENTIAL (For
Additions, Remodels, Etc,)
]~_Fr,__O_[~_M P ROVE M E_N T:
[]] NEW STRUCTURE
[] ~ROOM ADDITION(S)
?//PORCH ADDITION(S)
REMODEl
[] ACCESSORY BUILDING
DETACHED GARAGE
[]] ATTACHED GARAGE
DEMOLITION
LOT # ~ SUBDIVISION NAME ~ SECTION
ESTIMATED
(E
PLt
Plumber':
(Multi-Fatal f Construction Code)
PR: . - INFORMATION:
/
FOUNDATION TYPE:
(Check
all
that
apply
for
the
new
Early Release / Manufactured / n i n
Permit: _Y ___~_~ Trusses: ( v/ N co struct o area)
· / ~ -- CD CRAWLSPACE ?_/4~OST & BEAM /
Lot Sp it ~-----v' N Sump Pump. ( ~N ~ SLAB ~ ~ BASEMENT /
Does any 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 if construction commences
within 180 days of the date ot 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 Admimstmtive Rules of the Stare of Indiana (See 675 lAC 12) regarding expiration
time frames for begmmng and completing construction.
I, the undersigned, agree that any construction, reconsrrucdon~ ediargement, relocation, or alteration of a structure, or any :hange in the use of land
structures requested by this apphcarmn will comply with and coniorm to, all apph-'able laws of the State of Indiana and the ~Zoning Ordinance of Carmel
Ln~ana - 1993" (Z-289) mad amendments, adopted under authority of I.C, 36~7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
thoro. I further certify that m~ly kitchen, bad~, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be
usel~ or occupied until a Cereit3~are o[Occupancyhas been issued by the Department of ~ommunity Services, Carmel, Indiana.
Print Date
Filing Fees:
INSPECTIONS REQUIRED:
Upper Footing Lower Footing Under Slab
ces (Date)
Base Inspections: ~ c 0 - # Charged Re---
Reviews
Cert. of Occupancy: ~/, 5
Additional Fees
zip
ZON NG:
FOOTAGE:
Which plumbing codes will be applied to the construcUon:
rnational Residential Code w/Indiana Amendments
[~ Uniform Plumbing Code w/Indiana Amendments
PHONE
FAX
ziP
PHONE FAX
LOCATION
& PRO3ECT
INFO:
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