HomeMy WebLinkAbout05080092-ApplicationRECORD:
OWNER:
& PRO3ECT
ZNFO:
Multi-Family,
PHONE
Additions, Remodels, & Accessory Structures
FAX
zip
STR~O~SS I0 ~1~
~ SINGLE FAMILY
[] TOWN HOME
[] TWO FAMILY
# of units:__
[~ MULTi-FAMILY
# of Units:
[] RESIDENT[AL (For
Additions, Remodels, Etc.)
Early Release
Permit: Y __N
Lot Split: Y__N
~ LrI~!JTY WATER UTILITY
PROVIDER: /V//~ PROVIDER: / k//'/g~
NAME OF trr[LT~Y EXCAVATION CONTRACTOR; PLAN COHM[SS[ON / BZA / BPW ~
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERH[T #~ (IF APPLICABLE):
- --: - ' -: -- -- Z- RE'- --NT:
[] NEW STRUCTURE
[] ROOM ADDff~ON($)
[] PORCH ADDrHON(S)
[] REMODEL
[] ACCESSORY BUILDING
F~ DETACHED GARAGE
[] ATTACHED GARAGE
~ DEMOLITION
Which plumbing codes will be applied to the c
[] lntemaUonal Residential Code w/ZndianaAmendments
[] Uniform Plumbing Codew/ZndlanaAmendments
(Multi-Family Construction Code)
F UN- 1/ NTYPE: (Check all that apply for the new
construction area)
g CRAWLSPACE [] POST & BEAN
SLAB [] BASEMENT
Filing Fees:
INSPECHONS REQUIRED:
Base Inspections:
Upper Footing Lower Footing Under Slab
Cert. of Occupancy:
Rough Base Final Site
R.I.F.:
scrucpare, or any change in the use of land or
and the "Zoning Ordinance of Carmel
the State of Indiana, and all Acts mandatory
· that the construction will not be
Indiana.
# Charged Re~
Renews
Additional Fees
Indiana- 1993' (Z-289) anda
thereto. I further certify that only kitchen, bari
Signature of Owner or Authorized A~ent ~ Date
OFF/CE USE ONLY: **************************************************
Manufactured
Trusses: Y _N
Sump Pump: Y N
Does any pert of the property lie within a special Rood designaUon area: YN WALKOUT: Y _N
For SIngle Fa ~tily an~ ~ structures, this permit is valid only ff~tion commences --
within 180 tays oft (Certificate of Occupancy issued) w/thin 18 months o£the
issuance date. Class I .~tate of Indiana (See 615 IAC 12) regarding expiration