HomeMy WebLinkAbout05050037-ApplicationRECORD:
PROPERTY
OWNER:
For
Permit #:
LOCATION PERMIT APPLICATION
MUlUlFamily, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
PHONE FAX
PHONE FAX
LOCATION L~r # SUBDM$[ON NA~E
& PRO.1ECT
INFO: ~ OF CONSTRUCTION
PROVIDER: ~,./t J'.,O~/I,./A~ PROVIDER:
E~TllqATED COST OF CONS'I~UCTION:
ZONING:
[~' SINGLE FAMILY
TOWN HOME
TWO FAMILY
# of units:_
MULTI-FAMILY
~ # of Units:__
[~Y~ RESIDENTIAL (For
Additions, Remodels, Etc,)
- I: -. A
Early Release
Permit: ._~._Y N
I l PE I [ J:: '~ NT:
[]] NEW STRUCTURE
[~ ROOM ADDITION(S)
C] . PORCH ADDITION(S)
~ REMODEL
[]] ACCESSORY BUILDING
DETACHED GARAGE
ATTACHED GARAGE
C] DEMOLITION ~
Trusses: Y V/N
C
Which plumbing codes will he applied to the cons~rU4~on:
~ntemational Residential Code w/Indiana Amendments
C~ Uniform Plumbing Code w/Indiana Amendments
(MultilFami~y Con--on Code)
~~L~l~: (Check all that apply for the new
eonstrucUon area)
~ BASEMENT
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid, only,'.ff co.n,s .tr~,ction ~o, mm~e_n~c es
within 180 days of the date o£ issuance of the bttilding prompt, and must be completed (Cer~cate of Occupancy ~s~ec~) v~r.~m 18 months o! tne
~ssuance date. Class I structure peta~its a~e subject to the General Admht~st?at~ve Rules of the State of Indiana (See 675 IAC 12) regarding expirad°n
time ~mmes for beginning ~uad completing consU'uccion.
I' the undersigned' agree that a~Y c°nstmcti°n' tec°~tmcti°n' enlargement' tel°,.catt°n' °r alterati°n °I a s~ -t[uc''mre' °t ~c~ ~-g~in ~e 'u'se °Han~dfft el
I~diana - ~993~ (Z~289 ) an~ amendments~ ad~pted un~er auth~nty ~£ I.C. 3~? et seq~ $en.era~ Assemmy ~ m~ e Smte.?t m~aan~a~ ana ai~ ~ct~ ame~.~ r~,
thereto. I fi~tthex cenEy that only ldtche~, bath, and floor drains am connected to the samta~y sewer. I further ceruty that me constructmn van not ~e
or ~occuL~d until a Cta'til2cnte o[Occttpancy~has been issued ~ the Department of Community Services, Carmel, lndiana~
Signature of Owner or Authorized Agent Print Date
Rough
Under Slab
Base Inspeddons: ~
Cert. of Occupancy:
PiR.I.F.:
# Charged R~-
Reviews
Additional Fees