HomeMy WebLinkAbout05020147-ApplicationRESIDENTIAL IM]:~ROVEMENT LOCATION PERMIT APPLICATION
For Single Family, MulU-Family, &Two Family: New Structures, AddiUons, Remodels; &Accessory Structures
PHONE FAX
BUILDER of
RECORD:
STAT~
BEST
PROPERTY
OWNER:
& PRO3ECT
INFO:
# NAME
PHONE FAX
SECTION ZONING:
~ER LIT~LH'Y WATER UTJ LHY
PROV[DER: PROVIDER:
(EXCLUDING LAND VALUE)
NAME OF LrF[LY~Y EXCAVATION CONTRACTOR; PLAN COMMISSION I BZA / BPW DOCKET'
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEFI~C PERMH' #~J (IF APPLICABLE):
SINGLE FAMILY [] NEW STRUCTURE
TOWN HOME ~ ROOM ADDITiON(a) ~.~ Plumber's Tn{liana State
13/VO FAMILY [] PORCH ADDITION(S)
# of units:__ [] REMODEL
0 MULTI-FAMILY [] ACCESSORY BUILDING~ I~.~ Which plumbing codes will be applied to the construction:
# Of= Units:__ [] DETACHED GARAGE [:3 International Residential Code w/Indiana Amendments
C3 RESIDENTIAL (For [] A'ITACHED GAR~,GE
Additions, Remodels, Etc.) [] DEMOL~ON ~ - t- ~[ [] Uniform Plumbing Code w/Iodiana Amendments
Pemit: Y ~N Trusses: __Y ~__N construcUon area)
Lot Split: Y _.~N Sump Pump: X_~N [] CRAWl. SPACE [] POST & BEAM
[] SLAB ~ BASEMENT
Does any part of the property lie within a special Flood designation area: Y __~N/ ' WALKOtrr: Y_~(__N
For Single Family and Two Family dwellings, additions, remodels, and/or aece~ory st~uctuses, this permit is~
~ithin 180 clays o£ the date of issuance of the building l~ermit, a~nd must be eomplered (CerrAfiease of Occul~aney issued) ~rith~a 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Pules of the State of Indrana (See 675 IAC 12) regarding expiration
time frames for beginning and completing eonscsuction.
I, the undersigned, agree that any cons~'uction, reconst~-uction, enlargemetlt, ~elocation, or alteration of a structure, o~ any change
stracm~es ~e~..ested by tiaa application w~ comply w~th, a~d confo=a to, all applicable laws of the State of
Lachana - 1993 (Z-289) and araenclments, adopted under authotit7 of LC, 364' et seq, General Assembly of the State of Indiarm, sud all Acts amsudatory
thexeto.~ furthe~ certify~at only k~then, bath~ and ~oor drains a~e connected to the sanir, a~y sewer. I further certify that the construction will not be
cyhas been issu~mmunity Services. Carmel, Indiana.
Signature of'Own~or Authorized Agent Print /
OFFICE UaE ONLY: ************************************************************************
Filing Fees: ~/~
INSPECTIONS REQUIRED: , .......... ~ ., _ _---~-~--_
...... ~ELEASED-FOR C~ ns~ioh,~:i'~ ~ _ # ~nargeo ~,e-
upper roofing Lower i-ootln~j uneerblal~ ,, -~" LL c~c~Ll ;2'[ OW~ - Reviews
..e--r _- ~"~ ~'~ ~,~1 ~ ~ ~ ~o~ ~',C:~ ~/~' F~::; Additional Fees
OF L ~t. Jl~, [~ ~ ~ ~ ~'I~L~.r~L
~ ~ ~ CIT~ OFCARMEI /C?~ ~O~I~!~AL:
INDIA