HomeMy WebLinkAbout05100084-ApplicationFor Single I
Tow sMp Permit
APPLICATION
Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory sttucturea
BUILDE~ of
RECORD:
~)ROPERTY
WNER:
LOCATION
& PRO3ECT
INFO:
NAME
NUMBBRS; TAC DATE(S); AND/OF
STREET ADDRESS
SUBDMS:ON NAME
PROVIDER:
PHONE FAX
,; / 7
PHONE FAX
squ.~E
(EXCLUDING LAND VALUE) .~
ERNIT #'S (IF APPLICABLE):
PLUM-TN;- : T;- CT,R:
[] AT~ACHED GARAGE
[] DEMOLITION
Release Manufactured
__Y ~__N Trusses:
License #:
Wh~h plumbing codes will be applied to the consi~ucUon:
~ IntemaUonal Residential Code w/Indiana Amendments
[] Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
- NDATION TYPE: (Checkall that apply for the new
construction area)
[] CRAWLSPACE [] POST & BEAN
[] BASEMENT
WALKOUT: Y_a~_N
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only
within 180 days of thc dare of issuance of thc building permit, and must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I strucVare permit~ are subjoct to the General Admin~rrative Rules of the State of Inflinus (See 675 IAC 12) reg~ng ~ation
time frames for beginning and completing construction.
I, the undersigned, agree that any construction, reconstruction, enlargement, relocation, or alteration of a suucmre, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State nf indiana and the 'Zoning Ordinance of Carmel
indiana - 1993" (Z-289) and amendinents, adopted under authority of I.C. 36-7 er seq, General Assembly of the State of Indiana, and all Acts amendaro~y
thereto. I further certK7 that only kitchen, bath, and floor drains a~e connected to the sanitary sewer. I further certify that the construction will not be
by the Department of Community Services, Carmel, Indiana.
Signature of, print
# Charged Re-
Reviews
0 3F/Y OF
~Community ServtcesR (Date)
Additional Fees