HomeMy WebLinkAbout05090072-ApplicationRECORD:
Single Family, Hulti-Family, & Two Family:
STREET ADDRESS
· ADDPd~=S
Permit
PERMIT APPLICATION
Structures, AddiUons, Remodels, & Accessow Structures
PHONE FAX
BEST M~tOD OF CONTACT:
PROPERTY
OWNER:
LOCATION
& PRO3ECT
INFO:
SEWER Lr~LrTY
PROVIDER:
NAblE PHONE FAX
C,'ox sd- . e. '
SUBDIVISION NAME v SECTION / ZONING:
+
I SQUARE
NAME OF OTiLITY EXCAVATION CONTRACTOR; PLAN COMMISSION
NUNBERS; TAC DATES);
-p . , ~:
[] SINGLE FAMILY
HONE
=-_-'I =':; ' ' ENT:
[] NEW STRUCTURE
ROON ADDiTiON(S)
· [~,, ~R~¢,H AD DITION (S)
~ IREMODEL
~:C~ 9~SSORY BUILDING
~{~3 DETACHED GARAGE
? ~'~ l~ (~CHED GARAGE
Early Release / Manufactured
Permit: Trusses:
Whic~ plumbing codes will be applied to the construction:
IntemaUonal ResidenUal Code w/Indiana Amendments
Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
/ JFOUNDAI'~ON .TYPE: (Check all that apply for the new
/ construcUon area)
Y
issuance date~ Class I structure permits are subject to the General Administrative Rules of the State o£ Indiana (See 675 IAC 12) regarding expiration
time frames for beghaning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a structure, or any cyngc tn the use of land or
structures r~egu.~ ested by this application wilt comply with. and conform to, all applicable laws of the State of In&aha, and the Zoning Ordinance of Carmel
Indiana - 1993 (Z-289) and amertdmenrs, adolated under authority of LC, 36-? et seg, General Assembly of ~e State of ~. ~d ~ Ac~ am~m~
thereto. I fumhex cer~ that 0nly kitchen, bath, and floor drains are connected to the sanitary sewer. 1 further certify that the construction will not be
~or oc/¢~pie~.~nt~ Cert.~catc o[Occupancyhas be~4ksued by _the Department of Community Services, Carmel. Indiana.
INSPECTIONS REQUIRED:
Upper FooUng Lower FooUng
Rough In Meter Base Final
__~(~ . '~ ~'~~ #ChargedRe-
Reviews
Cert. of Occupancy:
P.R.I.F.: Additior~al Fees
~? TOTAL: ~.~ ~