HomeMy WebLinkAbout05090152-ApplicationBUZLDER of
RECORD:
'LOCATION PERMIT APPLICATION
Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structures
PHONE FAX
METHOD OF CONTACT:
OWNER:
& PRO:II
ZNFO:
ADDRESS OF CONSTRUCT[ON
PHONE
CTrf
sw, q oy
NAME OF UT[!-~ EXCAVATION CONTRACTOR; PLAN COMMISSION ! BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMIT #'S (IF APPLICABLE):
SINGLE FAMILY
TOWN HOME
[] TWO FAMILY
# of units:
[] MULTI-FAMILY
. # of Units:
~ RESIDENTI/[L (For
Additions, Remodels, Etc.)
-_ :- __ ENT:
[] NBN STRUCTURE
BROOM ADDTi~ON(S)
PORCH ADDR'[ON(S)
[] REMODEL
[] ACCESSORY BUILDING
[] DETACHED GARAGE
~. ATTACHED GARAGE
~ DEMOLITION
Permit:
EST[MATED CO~T OF CONSTRUCTION: GO
(EXCLUDING LAND VALUE) ~ ~
Manufactured __Y ~N
Tresses:
__Y ~N
property lie within a special Flood designation area: __Y ~
~. ~nternaflonal Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Muiti-Family Construction Code)
FOUN. DAT[ON TYPE: (Check all that apply for the new
construction area)
l~ CRAWLSPACE [] POST & BEAM
CZ} SLAB [] BASEMENT
WALKOUT: Y ~/N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only ff~nstruction co~---e~
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
isanance date~ Clas~ I structure permits are subjest to thc General Administrative Rules of the State of Indiana (See 675 IAC 12) regaeding expiration
time frames for beginning and completing construction.
I, thc undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structore, or any change in the use of land or
structures ~u~ esred by this application will comply with, and conform to, a~ applicable laws of the State of indiana, and the 'Zoning Ordinance of Carmel
incliana - 1993 (Z~289) and amendments, adopted under authotity of LC. 36-7 et seq, General Assembly of the State of indiana, and all Acts amendatory
thereto. I further certify that only kitchen, bath, and floor drains sxe comlected to the sanitary sewer. I further certify that the construction will not be
used or ocoupied until a ~c~e o£Occupaac, rhss been issued by the Department of Corn ~munity Services, Carmel, indiana.
Additional Fees