HomeMy WebLinkAbout05040019-ApplicationTownship
RECORD:
PROPERTY
OWNER:
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
NAME PHONE FAX
& PROJECT
INFO:
CONSTRUCTION
SEWER UTILITY
PROVIDER:
NUMBERS; 1
PLAN COMMISSION / BZA / BPW DOOCET
COUNTY ~ AND/OR SEPTIC
tOME
~ T~VO FAMILY
# of units:
[] MULTI-FAMILY
# o[ Units:
C] RESIDE~ (For
Additions, Remodels, Etc.)
P ' --' IN * RMATI. -:
Early Release
Permit:
Lot Split:
~, = - ~R* EM _:
~/NEW STRUCTURE
[] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[] REMODEL
[] ACCESSORY BUILDING
[]) DETACHED GARAGE
C~ ATTACHED GARAGE
[] DEMOLITION
~ State License #:
Which plumbing codes will be applied
[] Zntemational Residential (
(Multi-Family Construction Code]
Manufactured
Trusses:
N
[] CRAWLSPACE [] POST &
.N [] SLAB
designation area: 'f_~N WALKOUT: Y ~//N
For Single ~annly and Two Family dwellings, additions, remodels, and/or accessory structures, tkis permit is vatid only if construction commences
w~thta 180 days of ch~ date of issuance of thc building permit, and must be completed (Certificate of Occupancy i~ued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree chat any construction, reconstruction, enlargemellL relocation, or alteration of a structure, or any ch~ange in the use of land or
structures r,~e~.~ ested by this application will comply with, and conform to, all applicable laws of the State of Inc]iana, and the Zoning Ordinanse of Carmel
indiana- 1993 (Z~289) and ameaadments, adopted undrr authotity of LC. 36~7 et seq, General Assembly of the State of Indiana, and all Acts amen&tory
theteto. I further sex~ that only kitchen, bath, and floor drains are corm<ted to the sanitary sewer. I further certify that the construction will not be
used or oc?pied until a Cerc~ca ce o~.Occupa~cyhas been issued by the Department of Community Services. Carmel. Indiana.
.- _~ _ ¢,/,~ _~ ~/~.~ _ ~
Signature of Owner or Authodzed~nt Pdnt Oate
Additional Fee~