HomeMy WebLinkAbout05040128-Application PPLICATION
Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, &Accessory Structures
OWNER:
BUILDER'S EHA~L .,~DDRESS
FAX
~OCATION .OT # SUBDIVISION NAHE SECTION ZONING:
PRO3ECT /4a/~/t~:5 ~//~ e_a_ _ ~D z//R-c~'i~ -
INFO:
f EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ (IF APPLICABLE):
(EXCLUDING LAND
TYP_: - -V M-N :
[] MULTI-FAMILY
# of Units:
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Early Release
Lot Split:
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
~ATTACHED GARAGE
/[] DEMOLITION
Manufactured
Trusses:
Does any part of the property lie within a s
Plumber's Indiana State
Which codes will be a
[] Uniform Plumbing
(Multi-Family Construction Code) (Ct
FOU ~ --TION TYPE: (Check all b~at apply for b~e new
construction area)
[] CRAWLSPACE [] POST & BEAM
[] BASEMENT
WALKOUT: Y__/~
is valid onlconstruction commences
witt~n 18 months o£ thc
~ ($¢c 675 1AC 12) rcgezfling expiration
I, the undersigned, agree that any consmlcuon, reconstraction ~ : alteration of a struc.ture, or any ~ch~ .g~in the .u. se ol land or
structures r,e~.qu, est ed by this application wiil coraply with, and ~ ~ k,s o[ the State oUmdiana, and Oe Zo .m~. Qrdinance o£ Carmel
Lndiana- 1993 (Z-289) andamendments, adoptedunder authorityo£I.C, 36-7et seq, Gea~eralAsserablyo£the Stateoflndiana, andailAct.sarae.n, datory
thereto. I further certify that only kitchen, bath, end floor drains are connected to the sanitary sewer. I further, certify that the ~onstracuon will not be
used or occupied until a Ce~X~cate ot'Occupa~c?has been issued by the Depatv. ment of Community Semces, Carmel, Indiana. - r
Si Print Dafla ' .
Filing Fees:
Base Inspections: ~0 ~ Charged Re-
Reviews
Cert. of Occupancy: ~5' d
P.R.I.F.: Additional Fee~
~ ..... TOTAL:
Re--~-~-~/Approved: De~---~-~-mmunity ~ervices (Date) ~ --