HomeMy WebLinkAbout05040143-ApplicationPROPERTY
OWNER:
; Tow Mp Permit: #
, IMPROVEMENT LOCATION PERMIT APPLICATION
Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
PHONE FAX
BUILDER'S EbL~IL ADDRESS (~ ~') O' 0 ~(~)~. 0 ~ .~ ~t.t2~-). BEST ME'i~OD OF CONTACT:
PHONE
FAX
[] SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:
[] MULTi-FAMILY
~ # of Units:
[~ RESIDENTI/~L (For
Additions, Remodels, Etc.)
TYPE
DEMOLTHON
Which plumbing codes will b~ applied to the ~nstruction:
IntemaUonal ResidenUal Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
issuance date. Class I srtucture permits are subject to the General Administrative Rules of the Sr. are of Indiana (See 6751AC 12) regardrng expiradon
time frames for beginning ~nd completing construction.
I, the undersigned, agree that any consr, ruc~iol~ reconstruction, enlargement, relocaaon, or alteration of a strucrura, or any change.in the .u. se of land or
structures ~q~ested by this application wilt comply with, and conform to, all applicable hws of the State o£ Indiana, and the 'Zoning Ordinance of Carmel
Indiana- 1993 (Z-289) andamendmants, adoprednnder authodtyoft,C. 36-Tetseq, GaneralAssemblyoftheStateofincliana,anclallActsamendatory
thereto. I further certify that only kitchen, bath, and floor drains are connected to the sanitax7 sewer. I further cerdfy that the consmlcuon will not be
used or oo. eu2pied untilp Cerrfficare o£Occupancy'has been issued by the Department of Community Services, Carmel. Indrana.
Print _ _ Date .
OFFICE USE ONLY: ******************************************************-'******************
Filing Fees," ~ __
Lower Foo~ng Under Slab
~Community $e~
r-o
Base Inspections: /~O.~u # Charged Re-
Reviews
Cert. of Occupancy: ~' ~'~~L~
P.R,I ,: Addi~onal Fees