HomeMy WebLinkAbout05070111-ApplicationPermit
PROPERTY
OWNER:
For Single Family, HulU-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
S-I~EET ADDRESS
STATE ZIP
METHOD OF CONTACT:
FAX
&LOCATZONpRo]ECT LOT# ~ SUSO~S;ONN~.~
:[NFO: ~DDm~S OF CONSTRUCTION
/S~8~
STATE ~ ZIP
ZONING:
ESTIMATED COST OF CONSTRUCTION: .
~ P ,.o~o~.: (~XCtUDING ~.0 VA~U~) ._X ~0, OO}-'-
_~v~o. ~m~croa; ~t~ co..~.qo. / B~ / B~ ~ .~
AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APpLICA81~: El
: ~BZN C N- . :
NEW STRUCTURE ~u~
[] TOWN HOME
[] TWO FAMILY
# of units:_
[] MULTI-FAMILY
# of Units:
E] RESIDENTIAL (-'~'~----r
Additions, Remodels, Etc.)
[] ROOM ADDiTION(S)
[] PORCH ADDITiON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
[] All'ACHED GARAGE
[] DEMOLITION
Plumber's Indiana ,' .: #:
Which plumbing codes will be t
~ntemaUonal
(Multi-Family Construction Code
~N' Manufactured ~~L~:
_Y Trusses: __y V/N construction area)
Lot Split: Y v/ N Sump Pump: ~/y N CE} CRAWLSPACE [] POST
~ SLAB
D°es any part of the property lie within a spedal Flood designation area: Y ~N WALKOUT: V/y N
F~y true,on commences '
issuance date. Class I structure permits are subiect to the Gen~- ' ~ ~ ..... c .omp~let, ed( .Certificate of Occupancy issued) within 18 months of the
:~ ~ ~ ~fx .urmmstraUve ttules o!the State of Indiana (See 675 IAC 12) reg. ardin~ ewoiration
tune xrames Ior negmnmg and completing construction.
hldia~a 199; ..... x .... pp DlemwsoftheStateofindiana, andthe Zo ' '
- a ta-zo~)an~amenctments, aoo teclunderauthori mug Ordinance of Carmel
thereto. I further certify that only kitche~ ba~ and floor drains 7~o~f~I].C_. 36_-?~? ~e,q, Ge~. exal Assembly. of the State of Indiana, mad all Acts am=dar, o.
used or occupie, cl u.til a Cetti~cace o£Oecu~ancvlms been iss ~e~d~~c~ m me sam~_s~w~r. ~.
· ---- ~ ~, ,:y u~e ~e~partment o~ ~.o~mmumty Services, Carmel, lndiana~
SH~P
Additional Fees
s:n~n~t~r~snt~; )fCommunityServices (Date)