HomeMy WebLinkAbout05070173-ApplicationUZLDER of
ECORD:
~r'ow~$~ Permit #:
APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
OWNER:
PHONE
LOCAl/ON SUBDWISION NAME ZONING:
& PRO3ECT
INFO:
~A_~ _UT_ ~TY/
[] TOWN HOME Piumber', Zndia.a ,i,.se #:
[2) TVVO FAMILY }~ n
# of units. .
~ RESIDENTIAL (J:~>7 ~:~ ,
Additions, Re~%'~ C/
P'" -:: IN -_ --"_--' 'm :
Early Release
Permit: ~ Tru.~se~:
Lot Split: Sump Pump: Y
Whlc~ plumbing codes will be applied to the construction:
-.~altemafional Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/~ndiana Amendments
(MulU-Family Construction Code)
(Check all that apply for the new
[]
Doea any part of the property lie within a special Flood designation area: y_~ WALI(Ob'T: y
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I structure permits are subject to the General Administrative Rules of the State of Indiana (See 675 1AC 12) regarding expiration
time frames for beginning and completing construction.
L the undersigned, agree that any constxuctinn, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
s~xucrures requested by this application will comply with, and corfform to, all applicable laws of the Stare of Indian~. and the ~Zoning Ordinance of Caxmel
hadiana - 1993~ I Z- 289) and amendments, adopted under authority of LC. 36-7 et seq, General Assembly of the Stare of Indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath. and floor drains a~e connected to the saniraxy sewer. I further certify that the construction will not be
fa~'~r occupied until a Cevri~cate o£Occttpa~cyhas been issues~Zt~e Deparunent of Community Services, Carmel, Indiana.
~lna~ of Owner or Authorized Agent p~ ' Date
OFFICE USE ONLY: *********************************************************************
Filing Fees:
INSPECTIONS REQUIRED:
~ Lower Footing ~
Reviewed/A~pmved~mrnunity Services[ ~ate)
Base Inspections:
Cert. of Occupancy:
P.R,I.F.:
__537. mo
TOTAL:
# Charged Re-
Reviews
Additional Fee~