HomeMy WebLinkAbout05030203-ApplicationRECORD:
PROPERTY
~)WNER:
LOCATZON
& PRO.1ECT
NAM PHONE
FAX
LOT # SUBDMSION NAME
TNFO: ADVaESE OF CONST~UCnON] 3 ~'0 ~9
SEWER WflLITY WATER UTILrfY
lAME OF UTILITY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW D~
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
' ~- R ': MEN :
[] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
~ DEMOLITION
FOR CONS F'RbCTION
I I PE - --, -:
~ SINGLE FAMILY
CJI TOWN HOME
[] TWO FAMILY
# of units:.
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
SECTION
tZONING:
FOOTAGE:
I (EXCLUDING LAND VALUE)
ESTIMATED COST OF CONSTRUCTION:
Which plumbing codes will be;
[] Zntemational ResidenUal
[] Uniform Plumbing Code
(MulU-Famil'~
FOUNDATZ~)N TYPE: (Check all that apply for the new
[] POST & BEAM
[] BASEMENT
WALKOUT: Y '/N
! and Two Family dwellings; additions, remodels, and/or accessory structures, this permit is valid only ff construction commences
s of the date of issuance of the building permit, and must be completed (Certificate 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 1AC 12) regarding expiration
time frames for beginning and completing construction.
1, the tmdersignecll agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, O~ any change in the use of land or
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 LC. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
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
'has been issued by the Department of Community Services, Carmel, Indiana.
: of Owner or Authorized Agent Print Date
,. ,E o
S CTIONS REQU RED: .~/,Y ~ ff .,......, _-,, .,, - --
........ ~, . ~,~ Base Inspections: ~) ' ~.~_._.~_ # Charged Re-
Upper eOOtlng Lower eOOtlng Un~/~Mao Reviews
RoughZn MeterBase ~ d~
Cert. of Occupancy: