Loading...
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