HomeMy WebLinkAbout05100018-ApplicationFor Single Family, MulU-Family, & Two Family: New Structures, AddiUons, Remodels, & Accessory Structures
r ADDRESS
PROPERTY ~1~ ,~
OWNER: ~/~' ~
~S~UARE
(EXCLUDING LAND VALUE) O ~
:~ -'- - ~' -: TYPE F M -'- -MENT:
SINGLE FAMILY [] NEW STRUCTURE
TOWN HOME /~ ROOM ADDLq-~ON(S)
TWO FAMILY# of units: /~'~C~ RIRP~EMRCoHDEALDDITION(S)
~TRACTOR:
Plum~State License #: --
[] MULTI-FAMILY / [] ACCESSORY BUILDING
~ # of Units:
~'~ RESIDENT~L (For LCD DETACHED GARAGE
"'"'~'~ ATTACHED GARAGE C] Uniform Plumbing Code w/lndianm Amendments
Additions, Remodels, Etc.~ / C] DEMOLITION .
/
Release / Manufactured / ' constructi .....
Permit. Trusses Y
Lot Split Y Sump Pump. Y __~_N
Does any part of the property lie within a special Flood designation area, Y ~, ' ' W~AILI~(~. o F~ i ~ .N
For Single Family and Two Family dwellings, additions, remodels, a~d/or accessory strucrares, dais penmt is valid only if construction commences
within 180 days of the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months of thc
issuance date. Class I structure permits are subject to the General Adminlsrtarive Rules of the State of Indiana (See 675 1AC 12) regarding expiration
dine frames [or beginning and completing construction
I, thc meders~gned, agree that any construction, ~econst~uction, mlargsmenr, rdocation, or alteration of a structure, or any c~ange Ln ~e use of land or
smtcmres r,e~q.u, ested by rbls application will comply with, a~d co~fform to, all apphcabl¢ laws o£ the Stsre of Indiana, and the ZonLng Ordim~ce of Carmel
hldiarm - 1993 (Z-289) and amendments, adopted under authority of I.C. 36-7 et seoo General Assembly of ~e Stste of Indiana, and all Acts ameedatory
rahere~o. I further cer0ty tha~ only ldrchen, bath, and floor drains are connected to the sardtary sewer, I further certify that the construction will not be
used~_l~.cupied until a C~.~.cat:¢ o£OccnI~anc, yhas been issued by the Department o£ Community Services, Carmel, Indiana.
O I~CE USE ONLY: ************************************************************************
Filing
Fees:
F~eviews
AdditiOnal Fees
r~ ~,~. Meter Base L Final
Base Inspections:
Cert. of Occupancy:
P,R.I.F.:
TQTAL: ~ / /