HomeMy WebLinkAbout05080039-ApplicationRB EUcZLDER of
ORD:
PROPERTY
OWNER:
For Single Family, Hulti-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX ~
NAME PHONE L[C~L~~'~ -'~,-,~ - ~L,~/~ FAX
LOCATION LOT ~
& PRO3ECT
DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #~ (IF APPLICABLE):
[] TOWN HOME
[] TWO FAMILY
# of units:
MULTi-FAMILY
# of Units:
C~ RESIDENT[AL (For --
Additions, Remodels, Etc,)
P '-'-'- IN :; =- -_--:
Early Release
Permit:
Manufactured
Y __~__N Trusses:
Y ~N Sump Pump: ~ _N
~ NEW STRUCTURE
[] ROOM ADDTHON(S} Plumber's Zndiana
[] PORCH ADDH/ON(S)
[] REMODEL
[] ACCESSORY BUILDING Which plumbing codes will be applied to the cons'~nsUon:
C~) DETACHED GARAGE ~l~ltsmaUonal ResidenUal Code w/Indiana Amendments
C~ ATTACHED GARAGE C~ Uniform Plumbing Code w/Indiana Amendments
~) DEMOLITION
(Multi-Family Construction Code)
FOUNDATZON - '~,' (Check all that apply for the new
construction area)
C~ CRAWLSPACE [] POST & BEAM
~SLAB ~ BASEMENT
I, thc unde~,'gned, agree that any construction, reconstruction, enlargenl, e~t, re]ocatio~ ~j a~{: e~r~OC ~f~a~ca;~rc~ or ~ ~ ~ ~ ~: ~{ land or
su'uctures,~u, espFl by this applicaritn will comply with, and conform to, all applicable laws of the SYa't ~'~ Iff ~a( ~2~ ~ ~f Carmel
Indiana - 1~93' (~ ~289) and amanclm~nts, adopted under authority of I.C. 36-7 et seq, General Assembly of t~e~iana, ~ ~t~ ~datory
thereto. I ~hrthe/~rtif7 that only ldt~ben, bath, and floor drains are comaected to the sanitaxy sewer. I further e~ il~t the construction will not be
used or odjeupie~ until a ~caee ~£Occupm'lcyhas been issued by the Deparup~ egt of Community Services, Catm~, Indiana.~ ,_
$19natsra of O~mar or &utJgglz~ ~a'nt ~--~ Print ~-~
OFFICE U$~ ONLY-' ************************************************************************
REQUIRED ...... -~. /~- --
Base Inspections: ~ ,5 ~) # Charged Re-
Reviews
Cert. of Occupancy: ~ 0
P.R.I.F.: ~ ~ ~ 0 Additional Fees