HomeMy WebLinkAbout05030048-ApplicationRECORD:
PRO
OWNER:
LOCAl/ON
& PRO3ECT
INFO:
Towt, tshJ_p Permit
IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory StructUres
NAME PHONE
CITY ~P
NAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTf WELL AND/OR SEPTIC PERMIT #~ (IF APPLICABLE):
ESTIMATED COST OF CONSTRUCTION:
(EXCLUDING LAND VALUE)
TY - F - R VEM- :
.~NEW STRUCTURE
TOWN HOME ROOM ADDITION(S]
[] TWO FAMILY [] PORCH ADDITION(S)
# of units: [] REMODEL
[] MULTI-FAMILY Which plumbing codes will be 1~
# of Units: [] ACCESSORY BUILDING
[] DETACHED GARAGE ~_lntemational Residential Code w/Indiana Amendments
[] RESIDENTIAL (For [] A'FI'ACHED GARAGE
Additions, Remodels, Etc.) [] DEMOLITION [] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
~ Man factu-- FOUNDATION TYPE: (Checka that apply for the new
- --. , -- ut' . rea ~/ construcUon a~e~~. --
LotSplit, N "*' N SumpPump. Y U'N I~:~;IAB .c~cr~rr]~pl~l~-
Does any part of the property lie within a specmal Flood designat,on area: J~ ' ~:"~
within 180 days of the date of issuance of the building permit, and must be completed (Cerdtlcate of Occup
iswaance date. Class I structure permits are subject to the General Administrative Rules o£ thc State o£ Indiana (5~:~7~
time frames for begimaing and completing construction.
I, the undersigned, agree that any conscruc~on, reconstruction, enlazgeraent, relocation, or alteration of a structure, or any change in the use of land or
smactures requested by tl~s application will comply with, zad conlerm to, all applicable laws o[ the State of indiana, mad the ~Zontng Ordhaance o[ Carmel
indiana - 1993" (Z-289) and am~adments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of inclLana, and all Acts amendatory
thereto. I further cer rff-y that only ldtehen, bath, attd floor drains are connected to the sardtary sewer. I further certify that the construction will not be
Rem'ewed/ :prove~: Dept, ofcomn~unity ServiCes '~te)
$:Perm~Fo~m~ILP RESIDENTIAL
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
7- 0, oo
# Charged Re-
Reviews
Additional Fe[~