HomeMy WebLinkAbout04120080 Application
PROJECT INFORMATION:
Early Release X Manufactured X FOUNDATION TYPE:
construction area)
Permit: _Y _N Trusses: . Y N
V X 0 CRAWLSPACE
Lot Split: _Y ~N Sump Pump: Y =N 0 SLAB
Does any part of the property lie within a special Flood designation area: _ Y -,'l\-N
BUILDER of NAME
RECORD:
STREET ADDRESS
BUILDER'S EMAlL ADDRE"'one(317)915-2200
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
NAME OF UTJUTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPllCABLE):
TYPE OF CONSTRUCTION:
M SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
o
o
o
o
o
o
FAX
CITY
STATE
ZIP
Nj~ / 7~
Itk r!OJ.JCLIJ.i2
/
Plumber's In na State License #:
/ ()J {X)()5"7
.
,Which plumbing codes will be applied to the construction: ,
~ntemational Residential Code w/Indiana Amendmients
I
o Unifonn Plumbing Code w/lndiana Amendments '
(Multi-Family Construcbon Code) .
I
(Check all that apply for the new
~
POST & BEAM
BASEMENT V
WALKOUT:_Y~
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 of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of It he
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 land or I
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Car;nel
Indiana -1993'" (Z~289) and amendments, adopted under authOrity of I.c. 36~7 et seq, General Assembly of 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
us or occupied until a Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
- 'lqjll)A/AlrYJ fIJ)Jjl-/fJ!A1 /3-1.0-M
ner 0 Authoriz Ag t Print Date .
OFFICEUSEONLY:************************************************************************
Filing Fees: X" S~. ~17 ,
INSPECTIONS REQUIRED: Base Inspections: ';:;I. CD 0" tJ 0 # Chargi'd Re-
Upper Footin (Lower Footi;iID Under Slab 1:"-() (j 0 ReViews
~ Cert, of Occupancy: ..:J, i
~inal . S~ 5).7 0 0 .
P,R.I.F.: ~ . 'f I. !J Additio~
(Date)
Fee Rived by: