HomeMy WebLinkAbout05070163-Application smENTIAL IMPROvEME LOCATION PERMIT APPLICATION
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
RECORD:
PHONE
CiTY
FAX
STATE ZIP
PROPERTY
OWNER:
BUILDER'S EMA~L ADDRESS
~ ADDP~SS
PHONE
BEST METHOD OF CONTACT:
/
CiTY STATE ZIP
SECTION ZONING:
LOCATZON
& PRO3ECT
:[NFO:
SUBDIVISION NA~E
NAME OF U PLAN COMMISSION / 13ZA / ~ DOCKET
NUMBERS; TAC DA~T~(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
SQUAR~
#ofi J~l i
C] RESID
[]] DEMOLITION
Ucense #:
Which plumbing codes will b~ applied to the consl~uctton:
onal Residential Code w/]Indiana Amendments
Uniform Plumbing Code w/Tndlana Amendments
(Multi-Family Construction Code)
Early Release Manufactured construction'area) (Check all that appl! [:he new
Permit: ~---~ Trusses: N
I-otSPlit: __ ~> ' ~._'/~Y-"-) N [] CRAWLSPACE ,[]
Y Sump Pump, [] SLAB ~EHENT ~
Does any part of the property lie within a special Flood designaUon area: ____Y ~ Y
For $:i~§]e ~y a~d Two Fa~y dwe~§s, ~cJ~il:tol~s, lm~odels, anti Jot accessotT s~tuctut~, rJfis [~trm~t is va]id only it' coasttuctio~ commences
w~tht~ ]80 days o£ r_hc date o£ issuance of thc b.flc[in~ permit, a~ct ~us~ be comp]~tecl (Cr~t~fca~¢ o£ Occupancy issued) w~thta tS mo~ths o~ tbe
~ssU~e 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 a~d completing construction.
L the uadersig~ed~ agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change tn the use of land or
s~ructttres :ff~q.u. ested by t~s application will comply with, mad co~orm to, all applicable laws of the State of Indiana. and the 'Zon~ag Ordnance of Carmel
Incttana - 1993 (Z~289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State of Indizna, and all Acts amendatmT
thereJ:o. I ~u~er certify that only kitchen, ba~, and floor dra~s are connected to the santta~ sewer. I ~urther cer t LeT that the construction will not be
[ a Cert~cate o£OcqEtx~c?bas been ~")~t ~e Department of Commue.ity Services. Carmel, Incl~a.
Date
OFFICE USE ONLY: *********************************************** * * *******************
Filing Fees:
~:~; r LJ~T~ ~T~t~[]~., '[ I O b~ Reviews
~}nd Loc, -~ ~- ~0 Addi~al F~
R~e~/~prov ~ Co~unl~ ~mi~ (Date)