HomeMy WebLinkAbout05030008-ApplicationRECORD:
PROPERTY
OWNER:
Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
NAME * / // ~ / ~ PHONE FAX
Y EXCAVATION CONTRACTOR; PLAN COHHISSION ! BZA / BPW DOC~'T
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC P~RMrF #'S (IF APPLICABLE):
::= ~-_ - ~ -N.:
SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
un, :
[] MULTI-FAMILY
# Of Units:.~"~:tt~Lf
RESIDEffi'I~L (For
Addition$, Remodel$. Etc.)
-- ~ IN- R- ~TIO-_:
Early Release Y ~ ~N
Permit:
Lot Split: ~ _~N
ZM : __ - -:
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
R
EMODEL
ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
Manufactured
Trusses: Y
Sump Pump: __Y ~__N
Plumber'~
Which plumbing codes will be applied to the constmcUon:
,~ lntemaUonal Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION TYPE: (Checkallthatapplyfor t~enew
construction ama)
I~ CRAWLSPACE ~[]. POST & BEAM
[] SLAB .)~ BASEMENT
Does any part of the property lie within a special Flood designaUon area: Y ~ N WALKOUT: Y__~_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff construction commences
WitiMn 180 days of the date of issuance of the blfilding permir, and must be completed (Cert~cate of Occupancy isstled) with~ 18 months of the
issuance dat~ Class I struesure permits are subject to the General Admiuistrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction,
I. the undersigned, agree that may constmctior., recons~ucuon, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures r,~eq.u, ested by this application will comply with, and con~orm to, al~ ap~cablc laws of the State of [ndiana~ and the "Zoning ordinance of C~mel
indiana - 1993 (Z-289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and alt Acts amendatory
thereto. I fi~rther cert~y that or~y kitchen, bath, and floor drains are comaected to the saxfita~y sewer. I further certify that the constr~ction will not be
used or oc~ied unt~ Ce~c]ce o£Occup~cyhas been issued by the Depa~ment of Community Services, Carmel. Indiana.
$1gnatu~ of Owner o~ Aiath~rized Agent ri t Date
OFFICE USE ONLY: ************************************************************************
· Filing Fees:
INSPECTZONS REQUIRED·
#
Charged
Re-
Upper Footing Lower Footing ~r]
Reviews
Rough Meter Ba S
c V CES
Re~ewed/A~6ro~'. Oept."6f Co~nmunity Se~-~ (Date)