HomeMy WebLinkAbout05030161-Application Application for ' Permit qo.
Uold #: Improvement Location Permit Date
Roll File
~s p~t ~ v~id o~y ff ~cfion is s~ M~ 180 da~ of~e ~te ofissu~ce for residen~al ~ns~cfion; ~d for co~i~ proj~, wi~ one (1) Irate Comemi~ Desi~ Rele~e. All ~ssu~: wi~in 2 _ em of ~e issu~ce da~.
BUILDER
TENANT NAME
OWNER
LOCATION
5. CP. oqa
CITY STATE ZIP
PHONE
CITY
LOT SUBDIVISION
STATE ZIP
SECTION
ADDRESS OF CONSTRUCTION
A. TYPE OF CONSTRUCTION Do plans include a porch? F. TYPE OF IMPROVEMENT
1. 13 Single Family
2. [] TwoFannly
3. [] Multi-Family
4. fl~ Commercial / Industrial
5. [] #TIER
[] Yes~ No
Type of Foundation
[] Crawlspace
[] Basement
(Specify) ~i~' Slab
B. SEWER: -- ~
1. ~l~ Public (Name ofsystem~ ~
2 [3 Private (Countypem,-it # ~
C. WATER ~- ~ ~
1 ~l~ Public (Name of system~ 6q~ Ct~4 ~}A.
2. [] Private (County permit #_
1. [] New Structure
2. [] Addition: Porch Room
3. [] Remodel [] Commercial Tenant Space
4. [] Foundation Only
5. ~t- Demolition
6. [] Accessory Building
7. [] Garage Detached Attached
G. Lot Split YES __ NO_ ~'
H. Flood Zones YES ___ NO ~:
I. Sump Pump YES NO ~'' ~
~. Manufactured Trusses YES NO ~:
D. ZONING: ~ K. Plumbing Contractor ~ -- ~
E. ESTIMATED COST OF CONSTRUCTION IRC Plumbing Code: [] Plum
(Excluding Land Valuel ~ Indiana Plumbing Code: [] License #:__
I the undersigned, agreethatanyconstruction r~c~nstru~ti~n~en~argement~re~~cati~n~~ra~terati~n~fas~ructure~~ranychangeintheuse~f~and~rstructures
requested by this application will comply with, and conform to, all applicable laws of the State oflndiana, and the "Zoning Ordinance of Carmel Indiana - 1993
(Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto. 1 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 until a
Certificate of Occupancy has been issued by the Department of Community Services, Carmel, Indiana.
INSPECTIONS NEEDED:
Footing/Under Slab Rough-In Meter Base
,.:317- -/1~-71'3c'~ Site Final C/O
Sq. Ft.__
(Print)
E-Mail:__
(Phone Numbarl
Plan Commission/BZAfBPW Docket O's; TAC Date(s)
Filing Fees:
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
TOTAL:
Reviewed/Approved: Dept. ofC mmunity S
o ervices