HomeMy WebLinkAbout05030043-Application PERMIT APPLICATION
For Single Family, Haiti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
BUILDER of
RECORD:
BUILDER'S EMA~L ADDRESS
PROPERTY .*.E P,O.E
OWNER: STP~r t~DP~SS
N NAME
& PRO3ECT
INFO:
ADDRESS OF CONSTRUCTION
PROVIDER:
PLAN COMMISSION / BZA / BPW DOCKET
(EXCLUDING LAND VALUE)
FOOTAGE:
TOWN HOME
~ TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:~
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Permit:
TY -F I - ~'-:. - T:
~ NEW STRUCTURE [] ROOM ADDITION(S)
C] PORCH ADDTHON(S)
C] REMODEL
[] ACCESSORY BUILDING
EFR
Plumber':
Which plumbing codes will be a
DETACHED GARAGE ~temational Residential Code w/Zndiana Amendments
AI-i'ACHED GARAGE ~
DEMOLITION cJ Uniform Plumbing Code w/Znd ana Amendments
(MulU-Famlly Construction Code)
/~ Manufactured
__~ '~ ' Trusses:
Sump Pump: Y
of the property lie within a special Flood d
for the new
Lssuaxace date. Clara I structure permits are subject to the General Administrative Rules of the State of indiana (See 6Z : 12) regarding
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocaQon, or alteration of a structure, or any change tn the use of land or
~.t~¢~q are~ ~u. ~2e~:l~ y2 ~ appli?taon will, comply with, and co.~onn to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
~-*~ t~'z~v)anc~amanctmants, aaoptedunderauthontyofI.C 364etscq Ge-neralAssemblvoftheStateo£lndiana and~LIA~r=.,~m .....
~cct or occ~ea unto a Cem~teio£Occ"tmncy-has been maned by the Department of Cor0mumty Services Carmel Indiana
OFFICE USE O ****************************
Filing Fees: ~
Baselnspections: ~ s 0 0
CerL of Occupancy: __~__.~ ~ 0 0
Site P.R.I.F.: ~ Addrdony
_~J~ $0.6 TOTAL: ~
Services (Date)
# Charged Re-
Reviews