HomeMy WebLinkAbout05030035-ApplicationRECORD:
PROPERTY
OWNER:
~, Tow~hiiV Permit
)CATION PERMIT APPLICATION
, MulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structu~s
NAME PHONE
~ SINGLE FAMILY
~ TOWN HOME
[] TWO FAMILY
# Of units:
[] MULTI-FAMILY
# of Units:__
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
SECTION
INFO: ~ ADDRESS OF CONffffiUCT[ON .~ -- ~ ,. /
ST OF CONSTRUCT]ON:
ND VALUE)
NUMBERS; TAC DA~(S) AND/OR COUNTY WELL AND/OR SEPTIC PERMIT # S (IF APPLICABLE) ~~
-- : M -V ---' :
NEW STRUCTURE
ROOM ADDTr~ON(S}
C~ PORCH ADDTI-JON(S)
[] REMODEL
[] ACCESSORY BUILDING ~Whlch plumbing
[] DETACHED GARAGE ~maflonal
[] A'I-FACHED GARAGE ~[] Uniform Plumbing Code w/Indiena Amendments
[] DEMOLITION (MultJ-Family Construction Code)
FOU-, A i -=PE: (Check all that apply for U~e new
Lot Split: Pump, Y ~ N ~ SLAB o~
within 180 days of the date o£/ssuance o mate of Occupanc~in 18 months ot the
issuance clat~ Class I structure permits are subject to the General Adminiserarive Rxtles o£ the State o£ Indiana (See 615 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, teconsrrucdnn, enlargement, retocataon, or alteration o£ a structure, or any _ct}~ange in the use of land
structures r~ested by r3a/s appl/cation will comply with, and conform to, all applicable laws of the State of Indiana, and the Zoning prdmance of Carmel
Indiana - 1993 (Z~289) and amenclments, adopted under authotity o£ I.C. 364 et seq, General Assembly of the State o£ Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drams are connected m the sanitary sewer. I further certify that the constracrann will not be
Pn
OFF~CE U ONLY: ************************************************************************
~ -~ Charged R~-
Site
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
Services (Date)
TOTAL:
Reviews