HomeMy WebLinkAbout05050157-Application )CATION PERMIT APPLICATION
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
IE& /l ~ ,1 ~ PHONE
BUZLDE~ of
RECORD: lv~ I± 1-~ c~5
Q'Pt STA~ ZIP
PROPERTY
OWNER:
INFO:
PHONE FAX
SUBDIVISION NAHE
PROVIDER' C~ ~-.
Nu~E OF UTILITY EXCAVATION CONTRACTOR; P~ COMMISSION / BZA / BPW DO~
NU BEP~q; TAC DATE(S); AND/OR COUNIY WELL AND/OR SEFTIC PERMIT #~ (:F APPLICABLE):
O TWI
# ofl
Permit:
/STRUCTURE
[] DEMOLITION
Manufactured
Y ~ZxN Trusses: 5~y N
Y Y'-N
OFFICE USE ONLY:
(Dam)
Which plumbing codes win be applied to the construcUon:
~' ~ntemaUonal ResidenUal Code w/Indiana Amendments
C] Uniform Plumbing Codew/lndlanaAmeodments
(Multi-Family Construction Code)
~CJ~[JI~E~: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAN
t~ SLAB ~ BASEMENT
Y ×N WALKOUT:Y_ 55 N
>nl¥ if consrmctlon coramences
sued) v~.thln 18 months of thc
Stat~ of Indiana (See 675 I^C 1~) regarding cxpiratinn
)r any change ~ thc use of land or
a£ the Sta~c o£ Indiana, mad the ~Zoning Or--ce o£ Carmel
o£ Indiana, and all Ac~s amcndamry
Indiana.
# Charged Re-
Renews
Additior~al Fees