HomeMy WebLinkAbout05050231-ApplicationI E ]I)F.I I I1V[PROIFE1V[E1NI LOC R1VEIT AppLICaTION
For Single Family, Multi-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
[~ ~cLDER of
ORD:
STREET ADDRESS
E
BUILDERS MArL ADDRESS
PHOREy?
IER:
NAME
PHONE
~ STATE
iNFO:
PROVIDER: (?,~X~%f- PROVIDER:
NAME OF UT[LrFy EXCAVATION CONTRACTOR; PLAN COMMISSION / BZA / ~F~,~ DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMTr # S (IF APPLICABLE):
FAX
) (EXCLUD[NG LAND VALUE)
ZIP
J SQUARE
O TOWN HOME
O TWO FAMILY
# Of units:~
[] MULTI-FAMILY
# of Units:__
[~ RESIDENTIAL (For
Additions, Remodels, Etc.)
Permit:
-"': -F ~ '" :- -,IT:
[] NEW STRUCTURE
C~ROOM ADDITION(S)
C~ PORCH ADDITION(S)
REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[]ATTACHED GARAGE
[]DEMOLITION
Manufactured Y ~N
PLUMBZNG I
Which plumbing codes will I
[~ International Residential Code w
[] Uniform Plumbing Code wr[ndlana Amendments
(Multi-Family Construddon Code)
F ND -N - _: (Check all that appiy for the new
co~ area)
LSPACE 0 ~4~3ST & BEAM
[] SLAB ~ BASEMENT
Does any pert of the property lie within a special Flood designation area: Y ~ WALKOUT:
within 180 days of the date of issuance of the building pexmit, and must be: completed (Certificate o£ Occupancy issued) within 18 months of thc
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, thc undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change/n the use of land or
strucCares ze,q.u~ested by this application will comply with, and conform to, all applicable laws o£ the State of fudiana, and the ~Zoning Ordirlance of Carmel
In(~Aana-1993 (Z-289) and amendments, adopted under authorit7 of I.C. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatoz7
thereto. I further certify that only ~itchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
Signature of ~-- ~er~--u. ' zed Agen~ -- Print ~
CFD¢ OF CAR~I~¢eLAY TOWhE
Services (Date)
AddiUonalFees