HomeMy WebLinkAbout05040106-ApplicationrTow Mp Permit ~ --
)CATION PERMIT APPLICATION
Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
; ENAIL ADDRESS
PROPERTY
OWNER:
LOT# SUBDW[$ION NAME
STATE Z~P
BEST METHOD OF CoI~rACT:
PHONE
FAX
PROVIDER: PROVIDER:
NAME OF DT[~ EXC~VAT[ON CONTRACTOR; PLAN COMMISSION ! BZA / BPW DOC~-T
NUMBERS; TAC DATE(S); AND/OI~ COUNTY WELL AND/OR SEPTIC PEP, HiT #'S (IF APPLICABLE):
~ SINGLE FAMILY
TOWN HOME
~ TWO FAMILY
# of units:~
~ MULTI-FAMILY
# Of Un~:
V :
[] NEW STRUCTURE
[] ROOM ADDiTION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
~ RES!DE~L(For [] ATrACHED GARAGE
Additien~,~m°dels~Etc') ~ DEMOLITION
~EASED F'!?~ OONS'?,~4UCTtON
~a~a~l~l~iu%'e with
Y N
V~CE~ --
Which plumbing codes will be applied to the construction:
ED International Residential Code w/Indiana Amendments
E~ Uniform Plumbing Code w/Indiana Amendments
(MulU-Family 6onstru¢don 6ode)
FOUNDAT~.(~N TYPE: (Check all that apply for the new
construction area)
[] CRAWl_SPACE [] POST & BEAM
[] BASEMENT
Y ~N WALKOUT: Y ~N
m
or Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid, only ffct~ns.trnstion commences
tlfin 180 days of the date of iwuance of the building permit, and must be completed (Certificate of Occupancy issued) v~thin 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.
I, the under,ghee, agree that any construction, zeconswaction, enlargement, rdoc~fion, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and con~orm to, all epphcable laws of the State of Indiana, and the 'Zoning O~nance of Cannd
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
thereto. I further certify that only kitchen, bath, and floor diains are connected to the sanitary sewer. I further certify that the construction will not be
)y the Department of Community Services, C~rmel, Indiana.
Signature of Owner or Authorized Agent Print Date
OFF~CE USE *****************************************************************************
INSPECT/ONS REQUIRED: Filing ~$1 ~ # Char~ed Re-
Reviews
Upper Footing Lower FOOting Und~
Rough In Meter Base Final~it~
Base Inspections:
Cert. of Occupancy:
P.R.I.F.:
AddiUonal Fees