HomeMy WebLinkAbout05060093-ApplicaitonFor
RECORD:
OWNER:
STP, EET ADDRESS
LOCATZON
& PRO3ECT
Permit
& Two Family: New Structures, Additions, Remodels, & Accessory StruCtUres
PHONE FAX
Q-rY /*) STATE ~ ZiP
BEST METHOD OF COI~ACT:
~--SINGLE FAMILY
~ TOWN HOME
[] TWO FAMILY
# of units,__
[] MUL'D-FAM~LY
# of Units:
RESIDENTIAL(For
Additions, Remodels, Etc.)
_ ]:- -, ,~-A · :
Early ~R, elease
Permit.
LotSplit:
~ ~ IH R.V~ ENT:
~NEW STRUCTURE
~] ROOM ADDITION(S)
[] PORCH ADDITION(S)
[]] REMODEL
[] ACCESSORY BUIL
[] DETACHED GAP
[] ATTACHED GA'
[] DEMOLITION
Manufactured
~ Trusses:
___Y ~ Sump Pump:
~N
Whlc~ plumbing codes will ~e applied to t~e construcUon:
~l~temational Residential Code w/;[ndlana Amendments
[] Uniform Plumbing Code w/Zndiana Amendments
(Multi-Family Construction Code)
FOU- - NTYPE: (Check all tflat apply for the new
construction area) ~
[] CRAWLSPACE [] POST & BEAM
[] SLAB --~--BASEMENT ~ ~ .... ~
WALKOUT: Y
Does any part of the properly lie within a special Rood designation area: _Y _.~ ~
For Single Family and Two Family dwdl/ngs, additions, ~eraode!s, and/o~ accessory structures, this t~rmit is valid, only if c(?s.tm, cdon commences
within 180 days of the date of issuance of the building permit, and must be completed (C _~carc of Occupancy msued) within 18 m.onths o.f th~
issuance date. Class I struclmrc permits arc subject to the General Administrative Rnlcs of the State of Indiana (See 675 IAC 12) t~u-ding expxrzrton
time frames for beginning and completing construction.
l, the undersigned, agree that any consV:uction, reconstruction, cnlargemenr~ relocation, or alteration of a sl:rucrurc, or any change/n the use of land or
s~"uctnses requested by r. his application will comply with, and conform to, ~1 applicable laws of the State of Indian~ and the "Zoning Ordinance of C~insl
Indiana - 1993" (Z-289) and amandmanrs, adopted under authoti~7 o£ LC. 36-7 et seq, Ganeral Assembly of the State of Indian~ and allAcrs amandarory
th~e~o. I further cerdfy that only kitchen, bath, and floor dra/ns are connected to the sanitary sewer. I further certEy that the ,construction will not be
/~or occupied until a Ccrr~'car:c of Occupancy'has been is~ac~qy the Deparrancnt of Community Services, Carmel, Indiana.
OFF/CE USE ONLY: ************************************************************************
Rling Fees:
(Date)
$:Peri~F~DENTIAL
# Charged Re-
, _~) Reviews
Additional Fees