HomeMy WebLinkAbout05030101-ApplicationRECORD:
OWNER:
Permit #:~
PER_MIT APPLICATION
Family, Multi-Family, & Two Family: New Structures, Additions, Remodels~ & Accessory Structures
LOCATION rOT # SUSDmaON NX.E ' SECUO. I ZO.mG:
&PROJECT
INFO: ADD"~SS OF
~ SINGLE FAMILY
~ TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
:- ~Z - =.:----- - :::
Early Release
Permit:
(~ NEW STRUCTURE
[] ROOM ADDITION(S)
[]] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
ntemaUonal ~/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
F- IND - -- .: (Check all that apply for the new
construction area)
[] CRAWLSPACE ~ ~I~)ST & BEAM
LotSplit: Sump Pump: ~ SLAB ,/~.. --/-13~ BASEMENT
Does any part of the property lie within a special Flood designation area: y vii WALKOUT.'Y
For Single Family and Two Family dwellings, additions, remodels, anOdor accessory structures, this permit is valid only ff construction commences
w/thin 180 days of the date of issuance of the building permit, and must be eomplered (Cerdfmate of Occupancy issued) within 18 months of the
issuance date, Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
tLme frames for beginning and completing construction.
structures requested by this application will comply with and conform to, all applicable laws of the State of indiana, and the ~Zoning Ordinance of Carmel
Indiana - 1993' (Z-289) and amendments, adopted under authority of 1.C. 36-7 et seq, General Assembly of the Stare of indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
used or. occupied u?ttl a CertiFicate o£Occv.?,anc?has been issued by the Department of Community Services, Carmel, Indiana~
$1.ate~ O~ ~Agent Print V Date
OFFICE USE ONLY: ********************************************* ** * ***
Filing Fees:
~lab Base Inspections: c~ ¢ O, 0 0 # ChargedReviewsRe-
r~gLlb~[iL~n$ ~ ~ ~,, 6')0 Additional Fees
~ of S~ate and {,ocal Code~. //. ,~ ,,~ //.~
~t/F .)/~ DEPT OF COMMUNtiW" SEF,WIC;'I~TAL:"
Rev~e~~s (Date) ~ ~ ~'~ ~ - / ~ / -