HomeMy WebLinkAbout05040024-ApplicationBUZLDER of
RECORD:
OWNER:
Township , ,
IMPROVEMENT LOCA ON PERMIT APPLICATION
Multi-Family, &Two Family: New Structures, Additions, Remodels, &Accessory Structures
PHONE FAX
BUILDER'S EMAIL ADDRESS
. BEST METHOD OF CONTACT: p/~
PI, ._
FAX
SEWER UTILITY : CONSTRUCTION:
PROVIDER:
NAME PHONE
LOCATION Lm~ , ~ON [ ZONING:
& PROSE~
INFO: ~o~ss OF CON~UmON
NUMBERS; TAC DATE(S);
PLAN COMMISSION / BZA / BPW
ADDITION(S)
(s)
REMODEL
[] DEMOLITION
(Check all that apply for the new
./---- [] POST & BEAM
~ ~' N SumpEUmp: / [] BASEMENT
Y _i/_.N WALKOUT: Y N
For Single Family and'~wo Family dwellings~ additions, remodels ~ strucenres, this permit is valid only ff construction commences
within 180 days of thc date of issuance of the building l~rmit, and must be completed (Certificate of Occupancy issued) within 18 months of r~e
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning and completing construction.
~ constxuction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
stencmres renu, ested by this application will comply with, and co,form to, all applicable laws of the Stste of indiana, and the 'Zoning Ordinance of Carmel
Indiana- 1993 (Ze289) and amendments, adopted under authority of I.C. 36-7 et scq, General Assembly of the State of indiana, and all Acrs amendatory
thereto. I further C~ that only kitchen, bath, and floor drains are cormec~ed to the sanitary sewer. I further ceztify that the construction will nor be
y the Department of Community Services, Carmel, Indian~.
~or Authorized ~ent Print .) Dath
': ~i.~t Filing Fees: / /~/'/.
REQU/ I'~
~.!'.,Base Inspections: ? ~//], ¢--0 # Charged
FoOting r Sial ~[O.Y&5 ~ Reviews
~--. i~w~Cert, of Occupancy:
Meter Base Site --
~.R.I.F,: Additional Fees