HomeMy WebLinkAbout06040056 Application
IDENTIAL IMPRO '. N
"Ie Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
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STREET ADDRESS.
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u> Co .~ Permit #: VUOt.{OOt::/o
CATION PERMIT APPLICATION
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BEST METHOD OF CONTACT:
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PROPERTY
OWNER:
PHONE
FAX
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STREET ADDRESS
CITY
STATE
ZIP
LOCATION LOT6!
& PROJECT
INFO:
SUBDIVISION NAME .
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SECTION
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FOOTAGE: ~::: ') 7
SEWER lJTILITY
PROVIOER: C IA\
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA I BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'5 (IF APPLICABLE):
TYPE OF CONSTRUCTION:
I2!i SINGLE FAMILY
tJ TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
, TYPE OF IMPROVEMENT: . PLUMBING CONTRACTOR: /
REL~S~W9T-Rili@OO:;TRL'CHGN-'< /) /YIerhcvVII'C'Oc
SUbJojffil; EO~li\umnoiNQ~1i rOfJUlfll,'tmcer's Indiana State License I:.
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EPitll)~~~1Ui'~ SFRI//="'-,\ b' ad '" be ,. d h st ct'
CITY 0.16'. ......~.~~~y& IN"". QJm;epum Ingc eswl apple tot econ ru Ion:
V""" L I I 'rl"V~ i
O u tH, _ GE i U.' Ll""fiHplmational Residential Code w/Indiana Amendments
RESIDENTIAL (For 0 ATTIi~~GE .J
Additions, Remodels, Etc.) 0 0 0 Unifonn Plumbing Code w/Indiana Amendments
DEMOLITI N (Multi-Family Construction Code)
;~~:~e:::ORMA:~N ~r~~~~ured lQNNDI~: (Check all that apply for the new
y .. v' 0 CRAWLSPACE 0 POST & BEAM
Lot Split: _Y -tLN Sump Pump: ~Y _N 0 SLAB \iI' BASEMENT
Does any part of the property lie within a special Flood designation area: _ Y LN WALKOUT:_ Y ~N
~ Reviewed/Approved: ept of Community Services
l ~,p"m'~/F"m'/ILP RESIDENTIAL
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures"this permit is valid only if construction commences
within ISO days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within IS months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of I
structures requested by this application \vill comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning 0
Indiana -199r (Z-289) and amendments, adopted under authority of r.c. 36~7 et seq, General Assembly of the State of Indiana, and. endatory
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 or occupied until a Certificate of Dee,,!::: has been issued by the Depattm of Community Services. Carmel. India~a. 0.1;2 fOt;?
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U Filing Fees: 9'77. 'ff)
QUIRED: f '7'7 ~
~ j Base Inspections: 1, I.:J 0 # Chatged Re-
Under Slab JI c'3, r 0 ReViews
Cert. of Occupancy: J . ~
'2& 0 00
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Additional Fees
Fee Received by: