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HomeMy WebLinkAbout05040054-ApplicationPROPERTY OWNER: ,: New Structures, AddiUons, Remodels, & Accessory Structm~s PHONE FAX SECTION ZONING: INFO: ~IUTY PROVIDER: Pure CO..iSS~ON / ~Z~ / ~v ~=x~r CiTY OF ~ NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMZT ~S (ZF APPUCA~LE): L~ ~, I ~ [] TOWN HOME [] TWO FAMILY # of units:__ [] MULTi-FAMILY ; # of Units: RF. SIDE~ (For Additions, Remodels, Etc.) [] ROOM ADDITION(S) [] PORCH ADDITION(S) [] REMODEL [] ACCESSORY BUILDING C3 DETACHED GARAGE ATTACHED GARAGE DEMOLITION Which plumbing codes will ~v/Zndiana Construction (Check all that apply for the new ~ LTO_~TA~L:/ ~/ INSPECTZONS REQUIRED: Upper f Under Slab Final ~) Filing Fees: Y Sump Pump: Y ._~N [] / © POST & BEAM [] SLAB [] BASEMENT Does any part of the property lie within a special Flood designation area: WALKOUT: Y N s _t~csur~, this permit is valid, only ~ co.n,s .t ru.c?ion co, mm~e~c es within 180 days of the da~e of issuance of the building permit, and must be co. mplered (Certificate of Oc, .cupancy msued) w~thin 18 m,.onths o~, issuance date, CLass I structure permits are subject to the General Administrative Rules of the Stst~ of Indiana (See 675 lAC 12) regarmng ex]p~raexon time frames for beginning and completing construction. I, thc undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change m t~he ,u. se of lan~d~or , sttuctures rt~luested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "7onmg urclmance ot t.annex Indiana - 1993' (Z~289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the State of Indiana, and atlActs amendatory thereto. I furtbe~ cert~y that only kitchen, batil, and floor drains are connected to the sanitary sewer. I further certi~ that the construction will not be · Cerr~ca£e o£O~ut~at;cyhas been issued by the Department of Community Services. Carmel, Indiana. Signature of Owner or Authorized Agent© -- Print Date