HomeMy WebLinkAbout05010108-Application 'LOCATION PERMIT APPLICATION
Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
I PHONE FAX
BUILDER of kD c,.,. 3t~- ' '=I-:I-H, ~"5'~- 3Or. ~c~q- ~'3"~'=J'
RECORD: --
crrY STATE
~OCATXON ~ .mE SEcnoN
TNFO: /~DRESS OF CONSTRUCTION
/~)A ~ST OF CONSTRUCT[ON:
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / ~PW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # S OF APpLICA~):
ULT[-FAMILY
# of Units:
Additions, Remodels, Etc.)
· -F%M R-V:M ' :
[] NEW STRUCTURE
~ POOH ADDITTON(S)
,~¢¢4~' ~.~,/°C L.AY '~f~:~st:r,..,cdo, Code)
AFOUNDAI"~ON TYPE: (Check all that apply for t~e new
Manufactured
OFFICE USE ONLY: ***********:
F[EQUZRED:
Footing
~ Meter Base ( Final
[] POST & BEAM
[] BASEMENT
WALKOUT: Y N
llings, additions, remod~pennit is valid oniy~ction comm~
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 [ structure permits are subject to the General Adminisrtative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction,
I, the undersigned, agree that any construction, reconstruction, enlargemant, ~elocation, or alteration of a structure, or any ch~ange [n the use of land or
sumctures te.q.u, ested by this application w~ll comply with, and conform to, all applicable laws of the State o£ Indiana, and the Zoning ordkmnce of Carmel
~ - 1993 (Zl289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amandatory
~ere~. I further ~ that only kitchen, bath, and floor drains are colmected to the sardtary sewer. I further cert~ that the construction will not be
~ed oit.o%apml_~d._aCer~cate o£Occupancyhas been issued by the Department c~ Cpmmunity Services, Calmel, Indiana.
Signature of Owner or Authorized Ag
Fees: ~
Cert. of Occupancy:
P.R,I.F.:
# Charged Re-
Reviews
Additional Fe,~
(Date)