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