HomeMy WebLinkAbout05040058-Application-@
Permit #:~
SIDENTIAL 'PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New SL~uc~urea, Additions, Remodels, & Accessory S~ruc~ures
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCAl/ON
& PROJECT
INFO:
NAME PH NE FAX
NAME
ADDRESS
SUBDMSION NAME
WATER L~T] LITY
PROVIDER:
PHONE FAX
.
(3 3q~? (3i 3q
i~
FOOTAGE:
NUMBERS; TAC DATE(S); RND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICASLE): ~ b
[] TOWN HOME
) ]3NO FAMILY
# of units:
[] MULTI,FAMILY
# of Units:.
[] RESIDENTIAL(For
Additions, Remodels, Etc.)
~] NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] ATTACHED GARAGE
[] DEMOLITION
lOP
Manufactured
Trusses:
Sump Pump:
, Release~ V//N~
Permit: ~
Lot Split: --
any part of the property lie within a special flood designation area:
International Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
FOUNDATION ~PE: (Check all that apply for ~e new
coestructien area)
[] CRAWl. SPACE C/CrC)ST & BEAM
[] SLAB [~ BASEMENT
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
of issuance of the buflcling permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance dat~ Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
~ construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
sttuctures requested by this application will comply with, and conform to1 ~ apphcable laws of the State of indiana, and the "Zoning Ordrnance 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 ~11 Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the constructfion will not be
'has been issued by the Department of Community Services, Carmel. Indiana.
of Owner c Print Date ·
· ***************************************************** ******************
OFF~CE USE ONLY. .< .. *A~
Filing Fees:
Under Slab
Base Inspections: ...~(i 7- ~0 # Charged Re-
Reviews
Cert. of Occupancy: ~ .5~0
Reviewed/A~ ~
Subiect to compliance with all r~{~u)ations
of State and
iNDiAb,JA
,.:> ,5~ ?. (') 0 Additional Fees