HomeMy WebLinkAbout05080216-ApplicationRECORD:
PROPERTY
OWNER:
For Single Family,
STREEt ADDRESS
flllnnoni
PHONE
PHONE
CITY
Permit #
PPLICATION
, Additions, Remodels, & Accessory Structures
FAX
STATE
FAX
ZIP
SECTZON ZONING:
PERMIT #'S (IF APPLICABLE):
FOOTAGE:
ESqlD1ATED COST OF CONSI'RUCFION:
(EXCLUDING LAND VALUE)
!
Rate License #:
# of REMODEL
[] ACCESSORY BUILDING
# ( [] DETACHED GARAGE
[] ATTACHED GARAGE
Additions, Remodels, Etc.) [] DEMOLITION
Permit: Y ~/ NTrusses:Hanufactured X y N
Which plumbing codes will be applied to the construction:
I~.J, nternational Residential Code w/Indiana Amendments
I~ Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
~~L~: (Check all that apply for the new
M~fsttuction area)
~. . ,f [] CRAW[SPACE [] POST & BEAN
Lot Split: Y ~ N Sump Pump. Y-.Y N [] SLAa cc~ BASEMENT
within 180 days of the c~tc of issuance of the building permit, and muse be completed (C~r ' e~t~a~c~fi~onths of the
issuance dat~ Class I structure permits are subject to the General Administrative Rules o~.~.t e~/~t~l~) ~~tion
thne frames for l~ginning and completing cd~;: O/~ ~:; iL~ F' / ./ C" I ~ ........... ~ ~ ,' :~
I, the undersiga~d, agree ~hat any construction, r~cons~rucnon~ enl~gement, rao~mo~, o~ at~mo~ of a m~cm~e, &~,i~qa~ag~e~/~'~p
snmcmres requested by dais application will comply with. and conform to. all applicable laws of the State of Indiana, ai~fl~dC~ajt~g Ordinance of Carmel
Indiana - 1993' (Z-289) and ameadments, adopted under au~ori~y of I.C. 36-7 et seq, General Assembly of the State of Indiana. and all Ac~s amendato~y
thereto. I further certify that only kitchen, bath, and floor drains an= connected to the sanitat7 sewer. I further certify that the construction win not be
used or occupied until a C~r~care o£Occupanc?has b~e~.isanecLby t~artmcnt of Community Services, Carmd, lndian~
O: ~ ,q Ca~ ~e~m~ ),&j . ~).~5/- ~ "-
OFFICE
USE
ONLYI
Filing Fees: ~ .
Under Slab
t Services
Base Inspections: ~ # Charged
Reviews
Cert. of Occupancy: ~ ~ ~
P.R.I.F.: ? ~ Additional Fees
Fee Received by: