HomeMy WebLinkAbout05040048-ApplicationRECORD:
OWNER:
PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
~SS STAT~
S EMAIL BEST METHOD OF CONTACT:
ADDRESS OF
][NFO:
PROVIDER:
NAME OF u'r~LrFY EXCAVATION CON~L~CTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DA~r-{S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ {IF APPLICABI~):
WA'~R LfT~LITYr
C] TOWN HOME C] ROOM ADDII'ION(S)
0 TWO FAMILY I~ PORCH ADDITION(S)
# of units: [] REMODEL
[~ MULTI-FAMILY [] ACCESSORY BUILDING Which plumbing codes will
# of Units: [] DETACHED GARAGE ~ Xntemational
~ RESIDENTIAL (For [] A~TACHED GARAGE C~ Uniform Plumbing
Additions, Remodels, Etc.) [] DEMOLITION (Multi-Family Consl~ction Code)
Manufactured ~LI~.~L~: (Checkall that apply for the new
Y __~N Tresses: ~Y N construction area)
[] CRAWLSPACE [] POST & BEAM
Lot Split. Y ~ Sump Pump: -Y ~[~ ~ SLAB [] BASEMENT
Does any part of the property lie within a special Flood designaUon area: __Y N WALKOLrr:__Y N
isanance dare. Class I seructurc permits arc subject to the General Administr_ ativc Rules of thc Stare of Indiana (sec 675 IAC 12) regarding exp~rari°n
thn¢ framc~ fo~ beginning and completing construction.
I, the undarsigncd, agree that any construction, reconstruction~ enlargement, lelocation, or alteration of a str~ctorc, oz any change In the usc of land or
structures requested by th~s application wfd comply with, and conform to, all appl/cable laws of the State of Indiana, and the ~Zening Ordinance of Carmel
Indiana - lP93' (Z-289) and ~cndments, adopted under anthor~ty of LC. 36-7 et scq, General Assembly of the State of Indiana, and all Acts amcndatory
thereto. I fnsthc~ ~ that oMy kitchen, b~th. and fl0p~ ~ are connected to the sanit m-f sewer. I further certify that the
nscd or ~ccup~¢d un? a,Ce~cate ofOc¢upane/has l~cn 1~¢kl by th~ Department ?~f ~Community Services. Carmel. Indiam~
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INSPECTIONS REQUIRED: I~ r_ . .
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