HomeMy WebLinkAbout06010079-ApplicationPermit~ #:
For Single Family, Multi-Family, & Two Family: New Structures. Additions, Remodels, & Accessory Structures
i~UILDER of
ECORD:
OWNER:
NAME
STREET ADDREgS
CITY STATE
BUILDER'S EMAIL ADDRESS BEST METHOD OF CONTACT:
LOCATION LOT ~ SUBDIVISION NAM[i
INFO: ADDRESS OF CONSTRUCTION
SEWER UTILITY WATER UTILIT'f
NAME OF UTILI~ EXCAVATION CONTRACTOR: PLAN COMMISSION BZA BPW DO£KET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMiT # ~ (IF APPLICABLE):
T~PE F, -~- R ! N: TYPE OF !MPROV_EMENT:
I~ SINGLE FAMILY U3 NEW STRUCTURE
1~3 TOWN HOME . F-I RC, C~M AnD1TIr~Nt'q~
LJ I.W.'O. A~I _ ./~h~/C~hi~PORCHADDiTiON(S)
CD MULTi-FAMILY t,\~TM ~ ACCESSr~vm~,mT~r-
,-, _~2f..Y.n, it.?'.~ '~q//i CD OETACHEDGARAGE
LD KDbJ. L)DI'~IIAL (for / ~v~y- CD A'FFACHED GARAGE
Additions, Remodels, Etc.) u C3 DEMOLTTIOi~
PR E- NF£ RMAT~ON:
Early Release Manufactured
Permit: Y ~) Trusses:
PHONE FAX
ZiP
FAX
CITY
SECT[ON
STATE
ZIP
J S~UARE '
L FOOTAGE: ./7.0
PLUMBING
Which plumbing codes will be applied to the construction:
(~ International Residential Code w/]ndiana Amendments
(~ Uniform Plumbing Code w/Zndiana Amendments
(MultFFamily Cons[ruction Code)
FOUNDA~__ON TYPE: (Check all that appl¥ forthenew
~ CRAWLSPACE ~ POST & BEAM
Lot Split: __ Y ~ Sump Pump: ~ SLAB ~ BASEMENT
Does
any part of the property lie within a special Flood designation area: Y ~ WALKOUT: Yi_i_(~
For Single Family and Two Family dwelhngs, additions, remodels, and/or accessory structures, this permit is valid only kf 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
issuance date. Class I structure permits are subject to the General Administrative Rules oi the State of Indiana ~See 675 lAC 12) regarding expiration
time frames for beginning and completing construcuon
1, the undersigned, agree that any construction reconstruction, enlargement, rdocation or alteration ota structure, or any change in thc use of land or
structures requested by this application xv~ comply with, and conform to, all applicable laws of the State of indiana, and the ~Zoning Ordinance of Cannel
Indiana - 1993" (Z-289) and amendments, adopted under authorip/of I.C. 36~7 et seq, General Assembly ol the State of indiana and all Acts amendatory
thereto. I further certify that only kitchen bath and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used°~cup~ed~untilaO~oare°£OccupancThasbeenissuedby~!eDepartmcnt°fC°mmunitvservices'Carmel'lndiana'Prin~j~ ;___~~0 ~
Filing
Fees:
INSPECTIONS REQUIRED:
Base Inspections: ~/~ "~ ~ # Cha~'ged Re-
Upper Footi.g Lower Footing Under Slab ~]/ ~-- 0 Reviews
Cert. of Occupancy:
f4eter
Base
~ Site P.R,LF.: Additional Fees
~Lt. Of Communit, Services (Date) ~ed by: -- --