Loading...
HomeMy WebLinkAbout05090091-ApplicationPermit #: ] APPLICATION Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures PHONE FAX [ t ~ADDRESS C~Pf STATE ZIP BUILDER'S EMA~L ADDRESS BEST METHOD OF CONTACT: PROPERTY'~= LOCATION LOT # SU~S~O..~E SE~ON ZONm;: & PRO3ECT INFO: ADDRESS OF CONSTRUCTION r SEWER UTLUTY ! WATER UTILITY - F~ -- - : TYP ' R . ~ ---: ~l SINGLE FAMILY [] NEW STRUCTURE [] TOWN HOME [] ROOM ADDITION(S) [] PORCH ADDITION(S) ~ ~SSORY BUILDING A1-FACHED GARAGE FOOTAGE: Plumber'~ Which plumbing codes will be applied to the consttucUon: [] International ResidenUal Code w/Zndiena Amendments [] Uniform Plumbing Code w/Indiana Amendments (Multi-Family ConstruCdon Code) ~:~[~L~[,' (Check all that apply for f~e new construction area) [] CRAWLSPACE [] POST & BEAM [] SLAB ~ BASEMENT Manufactured Tresses: _~Y __'.'.~N Sump Pump: Y _~N ~ any part of the property lie within a special Flood designation area: ____Y _~__N WALKOUT: Y~N For Single Family and TW~ Family dwellings, a~ditions, remodels, and/or accessory strucm.~'~s, thi~',Jt is valid only ff cO;Struction comm~c--~--- with~ 180 days of the date of issuance of the budding ~ermit. 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 673 lAC 12) regarding expiration time frames for beginning and completing construction. the undersigned, agree that any construction, ~econs~uction, enlargsment~ relocation, or alteration of a structure, or any ~ ~c~.gs in the use of land or s~-uctures requested by th/s application willcomply w~th, and conform to, all applicable laws of the State of indiana, and the Zon/ng Ordinance of Caxmel indiana - 1993" (Z-289) and amendme=ts, adopted under authority of LC. 36-7 et seq. General Assembly of the State of Indiana, and all Acts amendatory thereto. ! further certify that only kitchen, bath, and ~loor drains are connected to the sanitax7 sewer. 1 further certify that the construction will not be used or occupied until a ,has been i~ued by the Department of Commun/ty Services, Cannel. Indiana. Signature c Print Date USE ONLY: *********************************************************************** Filing Fees: / ~ ~' . 7~ INSPECTIONS REQUIRED: ~ -- Bsse Insoections' ~% ~ · k_~ O # Charged Upper Footing Lower Footing UmJer Slab ~t~;4k..~/~f~ ..... Reviews Rough In Meter Base Final / Site (~/ P.R.LF.: Review Additional Fees