HomeMy WebLinkAbout05100066-ApplicationJER:
BUILDER'S EMAIL ADDRESS
PHONE FAX
PHONE
FAX
NAME OF UTILITY ED(CA.VAT[ON CONTRACTOR; PLAN COMMISSION / BZA / BPW DOCKET
NUMBERS; TAC DATE(S); AND/OR COUNTY WELL AND/OR SEPTIC PERMH' #'S (IF APPLICABLE):
[] POST & BEAM
[] BASEMENT
WALKOLrr:Y N
For S/nglc Family and Two Family dwellings, addilions, r~modcls, and/or accessory structures, this permit is valid only ff construction comm~aces
within 180 days o£ the date of issuance of the building permit, and must be completed (Certificate of Occupancy issued) within 18 months o£ the
isanance date. Class I structure pennita are subjees to the General Adminisrtative Rules o£ the State of IndJana (See 675 IAC 12) regarding expiration
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, rdocation, or alteration of a structure, or any change in the use of land or
s~c~.tzes requested by this application w~ comply with. and conform to, all applicable hws of the State of Indiana, and the "Zoning Oxdinance of Cannel
Indiana - 1993' (Z-289) and amendments, adopted under authority o£ I.C, 36-7 et seq, General Assembly nf the State nf Indiana, and all Acts amendatoty
thereto. I further certify that only kitchen, bath, and floor dra/ns are connected to the sanitar~ sewer. I further certify that the construction will not be
used or occupied until a Cert~caee o£Occv, p,~c?has been issued by the Department of Community Services, Carmel, Indiana.
Signature of Age
OFFZCE USE ONLY: ************************************************************************
Filing Fees:
/ Lower FooUng Under Slab
Site
Df Community Services (Date)
RESIDEh'rlAL
~ase Inspections: # Char~ed Re*
Reviews
Cert. of Occupancy:
P,R.I,F.: Additional Fees