HomeMy WebLinkAbout05040070-ApplicationPermit #:
For Single Family, Multi-Family, &Two Family: New Structures, Additions, Remodels, &Accessory Structures
RECORD:
OPE~ I
OWNER:
J STREET ADDRESS
NAME OF UT[IJTY EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / ~.P~ DCCXET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERNFF # S (IF APPLiCAbLE):
PHONE FAX ,
PHONE
FAX
CITY STATE ZIP
SQUARE
(EXCLUDING LAND VALUE) ~ G~C~ ~'v~ff%
[] TOWN HOME
[] TWO FAMILY
# of units:__
[] MULTI-FAMILY
# of Units:
[] RESIDENTI/[L (For
Additions, Remodels, Etc.)
Y_V_N
,'- :M i .":
~NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] Al-rACHED GARAGE
DEMOI.~ON
Manufactured
Trusses:
Sump Pump:
Plumber's Indiana
~Y N
ich plumbing a
Intemational Residential Code w/Zndiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Mu~-Family Construction Code)
3~~: (Check all that apply fort:he new
construction area)
E3 POST & BEAM
WAU(otrr: Y__V__N
s, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
thc building pcrnfit, and must be completed (Ocr t~icatc of Occupancy issued) w~dfia 18 months of the
permits are subject to thc General Admix~strative Rules of thc State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
reconstruction, enlargement, relocation, or alteration of a structure, or any change In the use of land or
r w~th. md conform to, all applicable laws of the State of Indiana. and the "Zo~g Ordinance of Carmel
y of LC, 36~ et seq, General Assembly of the State of Indisua, and all Acts amendatory
r ldtchen, bath, and floor drains are connected to the sankary sewer, r that the construction will not be
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OFFICE USE ONLY:
· Services (Date)
Additional
TOTAL: