HomeMy WebLinkAbout05090167-Application Perm~ # 7
APPLICATION
For Single Family, Hulti-Yamily, & Two Family: New S~ructUl~S, Additions, Remodels, & Accessory Structures
~F~,~ ~- ., PHONE
NAME FAX
OWNER: ~ j~ ('- ~'~%
LOCATION Lin' # SUBDM$10N NAME ZONING:
& PRO3ECT ~ ~
INFO: A~DRESS OF CONSTRUCTION SQUARE
fOOTAGE:
I EI - I * lJ :
~ SINGLE FAMILY
[]] TOWN HOME
CZ) TWO FAMILY
# of units:
CZ) MULTI-FAMILY
# of Units:
C] RESIDENTIAL (For
Additions, Remodels, Etc.)
P : ;IN · _' .- -:
Early Release
Permit: Y __~N
Lot Split: Y __~N
~0
~L NEW STRUCTURE
ROOM ADDITION(S)
[] PORCH ADDT~ON(S)
[] REMODEL
ACCESSORY BUILDING
[] DETACHED GARAGE
C]] ATTACHED GARAGE
[] DEMOLITION
Manufactured
Trusses: Y ~N
Sump Pump: ~-.Y N
PLUMBING CONTRACTOR:
Plumber's Indiana State License #:
Which plum~l~g ~es will be applied to the consb-ucUon:
~ ~ntemaUonal Residential Code wflndiana Amendments
~ Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
F :A:= TYPE: (Check all that apply for the new
construction area)
[] CRAWl. SPACE [] POST & BEAM
[] SLAB ~ BASEMENT
Does any part of the property lie within a special Flood designation area: Y ..~_N WALKOUT: Y__~N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is vldid only ff construction commences
within 180 days o£ the date o£ issuance of thc building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Chse I structure permits are subject to the General Adrninisrtative Rules of the State of Indiana (See 615 IAC 12) regarding expiration
time frames for beginning and completing construction,
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, alt applicable hws of the State of Indiana, and the ~Zoinng Ordinance o£ Carmel
Indiana - 1993" (Z-289) and amendments, adopted under authority of I.C. 36-7 et seq, General Assembly of the State o£ Indiana, and all Acts amandatoty
thereto. I.U:urSther certify that 0nly kitchen, bath, and floor drains axe connected to the sanitary sewer. I further certify that the construction will not be
re o£Occutx~a~cylms been issued by the Department of Community Services, Carmel, Indiana.
Signature of Owner or Authorized Agent Print~ Date
OFFICE USE ONLY: ************************************************* :***************
Filing Fees:
INSPECTIONS REQUIRED: # Chained Re-
Reviews
Revie trices (Date)