HomeMy WebLinkAbout05080049-Application ' Tow;~h J~ Permit
I s E [AL [IV[PROYElV[E1NT LOCA IO PI ,IUV[I A PI,ICA IO
For Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
ILDER of
RECORD:
PROPERTY
OWNER:
INFO:
NANE OF UTILI~
STREET ADDRESS
~ ADDRESS
LOT # SUBDMSION
ADDRESS OF CONSTRUCTION
PROVIDER:
CONTRACTOR; PLAN COMMISSION
PHONE
BEST METHOD OF CO~ITACT:
PHONE
FAX
ZIP
FAX
~E~r'ION
ZONING:
SQUNtI~
ADDITION(S)
Whic~ plumbing codes will be applied to tile construction:
Additions,
Early Release
Permit: ~~-- Trusses:
~] Uniform Plumbing Codew/Indiana Amendments
(MuttbFamily ConstrucUon Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
[] CRAWLSPACE [] POST &
Lot Split: ____Y ~ Sump Pump: __~N [] SLAB -~;~-~ASEMENT /~
Does any part of the property lie within a special Flood designation area: Y ~ WALKOUT:. Y ~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structure, this permit is valid only ff construction commences
within 180 clays of the clare of issuance of the building permit, and must b~ completed (C.~'dticate of Occupancy issued) within 18 months of the
issuance daw. Class I structure permits a~re subject to the General Adaninisrrative Rules of the State of Indiana (See 615 IAC 12) r~garding expiration
time fr0anes for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, ~nlargement, relocation, or alteration of a structure, or any change in the us~ of land or
structures :~a~sted by rlxis application will comply with, and conform to, all applicable l~ws of the State of indiana, and the 'Zoning Ordinance of Carmel
indiana - 1993' (Z-289) and ame~admenrs, adopted unde~ authotiry of I.C. 36-7 et seq, Genital Assembly of the Stare of Indiana, and all Acrs am~ndatory
th~'~to. I further certify that orrly kitchen, bath, and floor drains are connected to rt~e sanitary s~v~r. I further certify that the construction will not be
us~Lo~ occupied until a Cett~cate o£Occut:~mc?has been issuod~ the D~parrment of Community Services, C0~mel, Indiana~
si~atom of Owner or Authorized Agent print Date
Filing Fees: ~
INSPECTIONS REQUIRED:
~ ~ ,~7. ,%J~ # Charged Re-
Inspections:
--:~ - Reviews
Cert. of Occupancy: ~/ ~