HomeMy WebLinkAbout05030181-ApplicationRECORD:
PROPERTY
OWNER:
Permit #
PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structu~s, Additions, Remodels, & Accessory Structures
d-- m
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STREET ADDRESS C2'P/ STALE ZIP
BUILDER'S EMA[L ADDRESS BEST METHOD OF CONTACt:
E PHONE FAX
STATE ZIP
SEWER UTILITY WATER UTILITY ESTIHATED COST OF CONSTRUCTION:
PROVIDER: ~'~ [ PROVIDER: ~d'~,-[ f (EXCLUDING LAND VALUE) ·
: PERH~3~ #'S (IF APPUCABLE):
TOWN HOME
TWO FAMILY
'FY -F ,- '~, VE- E :
[] NEW STRUCTURE
P. OOM ADDITION(S)
C] PORCH ADDITION(S)
KEMODEL
~ ACCESSORY BUILDING
Permit: Y
Whic~
/ntemaflonal Residential Code w/Indiana Amendments
[~ Uniform Plumbing Code w/Indiana Amendments .
(Multi-Family Constru~on Code)
~~L~_~: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAN
Lot Split: y_~_~/fl Pump: Y v N ~ SLAB [] BASEMENT
Does any part of the property lie within a special Flood designation area: Y ~/'N WALKOUT:~ N
additions, remodels, alld/or accessory structures, thla permit is voJLid only if co.n,s .rm. ction commences
of the date of issuance of the building permit, and must be completed (Certfficate of Occupancy i~med) w~thin 18 months of thc
~o the General Administrative Rules o£ the State of Indiana ~See 615 1AC 12) regarding expiration
time frames for beginnin~ construction.
of a srvacmre, or any change in [he use of land or
~ all applicable laws of thc Stare of Indiana, and the 'Zov_tng Ordinance of Carmel
y of LC. 3&7 er seq, General Assembly of the Stare of Indiana, and all Acrs amendarory
and floor &ains are connected m the sanitary sewer. I further cerdfy that the construction will not be
>y the Department of Community Services. Carmel. Indiana.
Signature
Meter Base Site
(Date)
Date
Cert. of Occupancy:
P.R.I,F.:
# Charged Re-
Reviews
Additional Fees